|
MUNDELEIN DENTAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
823703194
|
2024-05-16
|
MUNDELEIN DENTAL CLINIC LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
3122822014
|
| Plan sponsor’s
address |
3074 W IL ROUTE 60, MUNDELEIN, IL, 60060
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-16 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES, INC. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MUNDELEIN DENTAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
823703194
|
2023-04-07
|
MUNDELEIN DENTAL CLINIC LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
3122822014
|
| Plan sponsor’s
address |
3074 W IL ROUTE 60, MUNDELEIN, IL, 60060
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-07 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MUNDELEIN DENTAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
823703194
|
2022-06-11
|
MUNDELEIN DENTAL CLINIC LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
3122822014
|
| Plan sponsor’s
address |
3074 W IL ROUTE 60, MUNDELEIN, IL, 60060
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-11 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MUNDELEIN DENTAL CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
823703194
|
2021-04-04
|
MUNDELEIN DENTAL CLINIC LLC
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
3122822014
|
| Plan sponsor’s
address |
3074 W IL ROUTE 60, MUNDELEIN, IL, 60060
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-03 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
