|
OLD TOWN DENTAL ASSOCIATES 401K PLAN
|
2010
|
362742223
|
2011-04-25
|
OLD TOWN DENTAL ASSOCIATES
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2196962844
|
| Plan sponsor’s
address |
P.O.BOX 776, BEECHER, IL, 60401
|
Plan administrator’s name and address
| Administrator’s EIN |
362742223 |
| Plan administrator’s name |
OLD TOWN DENTAL ASSOCIATES |
| Plan administrator’s
address |
P.O.BOX 776, BEECHER, IL, 60401 |
| Administrator’s telephone number |
2196962844 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-25 |
| Name of individual signing |
JAMES ECHTERLING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-25 |
| Name of individual signing |
JAMES ECHTERLING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OLD TOWN DENTAL ASSOCIATES 401K PLAN
|
2009
|
362742223
|
2010-07-27
|
OLD TOWN DENTAL ASSOCIATES
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2196962844
|
| Plan sponsor’s
address |
P.O.BOX 776, BEECHER, IL, 60401
|
Plan administrator’s name and address
| Administrator’s EIN |
362742223 |
| Plan administrator’s name |
OLD TOWN DENTAL ASSOCIATES |
| Plan administrator’s
address |
P.O.BOX 776, BEECHER, IL, 60401 |
| Administrator’s telephone number |
2196962844 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
ANGELA BAMMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-27 |
| Name of individual signing |
ANGELA BAMMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OLD TOWN DENTAL ASSOCIATES 401K PLAN
|
2009
|
362742223
|
2010-07-01
|
OLD TOWN DENTAL ASSOCIATES
|
4
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2196962844
|
| Plan sponsor’s
address |
P.O.BOX 776, BEECHER, IL, 60401
|
Plan administrator’s name and address
| Administrator’s EIN |
362742223 |
| Plan administrator’s name |
OLD TOWN DENTAL ASSOCIATES |
| Plan administrator’s
address |
P.O.BOX 776, BEECHER, IL, 60401 |
| Administrator’s telephone number |
2196962844 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-01 |
| Name of individual signing |
ANGELA BAMMANN PRES |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-01 |
| Name of individual signing |
ANGELA BAMMANN PRES |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
OLD TOWN DENTAL ASSOCIATES 401K PLAN
|
2009
|
362742223
|
2010-07-26
|
OLD TOWN DENTAL ASSOCIATES
|
4
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2006-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2196962844
|
| Plan sponsor’s
address |
P.O.BOX 776, BEECHER, IL, 60401
|
Plan administrator’s name and address
| Administrator’s EIN |
362742223 |
| Plan administrator’s name |
OLD TOWN DENTAL ASSOCIATES |
| Plan administrator’s
address |
P.O.BOX 776, BEECHER, IL, 60401 |
| Administrator’s telephone number |
2196962844 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-01 |
| Name of individual signing |
ANGELA BAMMANN PRES |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-01 |
| Name of individual signing |
ANGELA BAMMANN PRES |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
