|
SIGNATURE FAMILY DENTAL, PLLC 401(K) PLAN
|
2023
|
833563149
|
2024-10-14
|
SIGNATURE FAMILY DENTAL, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6183451400
|
| Plan sponsor’s
address |
1170 BELT LINE RD., COLLINSVILLE, IL, 62234
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-14 |
| Name of individual signing |
HEATHER TAYLOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SIGNATURE FAMILY DENTAL, PLLC 401(K) PLAN
|
2022
|
833563149
|
2023-07-17
|
SIGNATURE FAMILY DENTAL, PLLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6183451400
|
| Plan sponsor’s
address |
1170 BELT LINE RD., COLLINSVILLE, IL, 62234
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-17 |
| Name of individual signing |
HEATHER TAYLOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SIGNATURE FAMILY DENTAL, PLLC 401(K) PLAN
|
2021
|
833563149
|
2022-07-06
|
SIGNATURE FAMILY DENTAL, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6183451400
|
| Plan sponsor’s
address |
1170 BELT LINE RD., COLLINSVILLE, IL, 62234
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-06 |
| Name of individual signing |
HEATHER TAYLOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SIGNATURE FAMILY DENTAL, PLLC 401(K) PLAN
|
2020
|
833563149
|
2021-07-12
|
SIGNATURE FAMILY DENTAL, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6183451400
|
| Plan sponsor’s
address |
1170 BELT LINE RD., COLLINSVILLE, IL, 62234
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-12 |
| Name of individual signing |
HEATHER TAYLOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SIGNATURE FAMILY DENTAL, PLLC 401(K) PLAN
|
2019
|
833563149
|
2020-05-06
|
SIGNATURE FAMILY DENTAL, PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6187092934
|
| Plan sponsor’s
address |
1170 BELT LINE RD., COLLINSVILLE, IL, 62234
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-06 |
| Name of individual signing |
HEATHER MAHASSEK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
