SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2016
|
362671108
|
2017-07-25
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2016
|
362671108
|
2017-05-23
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2015
|
362671108
|
2016-06-02
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2014
|
362671108
|
2015-06-09
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2013
|
362671108
|
2014-07-11
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
PAUL BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-11 |
Name of individual signing |
PAUL BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2012
|
362671108
|
2013-05-24
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Signature of
Role |
Plan administrator |
Date |
2013-05-24 |
Name of individual signing |
PAUL H. BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-24 |
Name of individual signing |
PAUL H. BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2011
|
362671108
|
2012-07-26
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Plan administrator’s name and address
Administrator’s EIN |
362671108 |
Plan administrator’s name |
SUBURBAN OTOLARYNGOLOGY S.C. |
Plan administrator’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402 |
Administrator’s telephone number |
7087493070 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2010
|
362671108
|
2011-10-07
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Plan administrator’s name and address
Administrator’s EIN |
362671108 |
Plan administrator’s name |
SUBURBAN OTOLARYNGOLOGY S.C. |
Plan administrator’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402 |
Administrator’s telephone number |
7087493070 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-06 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2009
|
362671108
|
2010-10-12
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Plan administrator’s name and address
Administrator’s EIN |
362671108 |
Plan administrator’s name |
SUBURBAN OTOLARYNGOLOGY S.C. |
Plan administrator’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402 |
Administrator’s telephone number |
7087493070 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN OTOLARYNGOLOGY S.C. PROFIT SHARING & 401(K) PLAN
|
2009
|
362671108
|
2010-10-12
|
SUBURBAN OTOLARYNGOLOGY S.C.
|
15
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087493070
|
Plan sponsor’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402
|
Plan administrator’s name and address
Administrator’s EIN |
362671108 |
Plan administrator’s name |
SUBURBAN OTOLARYNGOLOGY S.C. |
Plan administrator’s
address |
3340 S. OAK PARK AVENUE, BERWYN, IL, 60402 |
Administrator’s telephone number |
7087493070 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
LARRY BAILEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|