BOOTH ORTHODONTICS, LLC 401(K) PLAN
|
2023
|
832604647
|
2024-07-22
|
BOOTH ORTHODONTICS LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083010005
|
Plan sponsor’s
address |
12635 WEST 143RD STREET, HOMER GLEN, IL, 60491
|
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-22 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOOTH ORTHODONTICS, LLC 401(K) PLAN
|
2022
|
832604647
|
2023-09-15
|
BOOTH ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083010005
|
Plan sponsor’s
address |
12635 WEST 143RD STREET, HOMER GLEN, IL, 60491
|
Signature of
Role |
Plan administrator |
Date |
2023-08-02 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-02 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOOTH ORTHODONTICS, LLC 401(K) PLAN
|
2021
|
832604647
|
2022-10-02
|
BOOTH ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083010005
|
Plan sponsor’s
address |
12635 WEST 143RD STREET, HOMER GLEN, IL, 60491
|
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-24 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOOTH ORTHODONTICS, LLC 401(K) PLAN
|
2020
|
832604647
|
2021-10-14
|
BOOTH ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083010005
|
Plan sponsor’s
address |
12635 WEST 143RD STREET, HOMER GLEN, IL, 60491
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-11 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOOTH ORTHODONTICS, LLC 401(K) PLAN
|
2019
|
832604647
|
2020-10-12
|
BOOTH ORTHODONTICS LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7083010005
|
Plan sponsor’s
address |
12635 WEST 143RD STREET, HOMER GLEN, IL, 60491
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
RYAN BOOTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|