THOMAS W. RILEY, D.M.D., LTD. PROFIT SHARING PLAN
|
2012
|
371365100
|
2013-10-10
|
THOMAS W. RILEY, D.M.D., LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2177873727
|
Plan sponsor’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
371365100 |
Plan administrator’s name |
THOMAS W. RILEY, D.M.D., LTD |
Plan administrator’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704 |
Administrator’s telephone number |
2177873727 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
THOMAS W. RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS W. RILEY, D.M.D., LTD. PROFIT SHARING PLAN
|
2011
|
371365100
|
2012-09-28
|
THOMAS W. RILEY, D.M.D., LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2177873727
|
Plan sponsor’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
371365100 |
Plan administrator’s name |
THOMAS W. RILEY, D.M.D., LTD |
Plan administrator’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704 |
Administrator’s telephone number |
2177873727 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
TOM RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS W. RILEY, D.M.D., LTD. PROFIT SHARING PLAN
|
2010
|
371365100
|
2011-10-10
|
THOMAS W. RILEY, D.M.D., LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2177873727
|
Plan sponsor’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
371365100 |
Plan administrator’s name |
THOMAS W. RILEY, D.M.D., LTD |
Plan administrator’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704 |
Administrator’s telephone number |
2177873727 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
THOMAS RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
THOMAS RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS W. RILEY, D.M.D., LTD. PROFIT SHARING PLAN
|
2009
|
371365100
|
2010-10-14
|
THOMAS W. RILEY, D.M.D., LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2177873727
|
Plan sponsor’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
371365100 |
Plan administrator’s name |
THOMAS W. RILEY, D.M.D., LTD |
Plan administrator’s
address |
2908 GREENBRIAR DRIVE SUITE C, SPRINGFIELD, IL, 62704 |
Administrator’s telephone number |
2177873727 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
THOMAS W. RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
THOMAS W. RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|