|
SURGEONS GROUP, S.C. PROFIT SHARING AND SAVINGS PLAN
|
2011
|
362673377
|
2012-07-25
|
SURGEONS GROUP, S.C.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-01-17
|
| Business code |
621111
|
| Sponsor’s telephone number |
8472344985
|
| Plan sponsor’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687
|
Plan administrator’s name and address
| Administrator’s EIN |
362673377 |
| Plan administrator’s name |
SURGEONS GROUP, S.C. |
| Plan administrator’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687 |
| Administrator’s telephone number |
8472344985 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-25 |
| Name of individual signing |
KIM SOBINSKY, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGEONS GROUP, S.C. PROFIT SHARING AND SAVINGS PLAN
|
2010
|
362673377
|
2011-07-14
|
SURGEONS GROUP, S.C.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-01-17
|
| Business code |
621111
|
| Sponsor’s telephone number |
8472344985
|
| Plan sponsor’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687
|
Plan administrator’s name and address
| Administrator’s EIN |
362673377 |
| Plan administrator’s name |
SURGEONS GROUP, S.C. |
| Plan administrator’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687 |
| Administrator’s telephone number |
8472344985 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-14 |
| Name of individual signing |
KIM SOBINSKY, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGEONS GROUP, S.C. PROFIT SHARING AND SAVINGS PLAN
|
2009
|
362673377
|
2010-09-23
|
SURGEONS GROUP, S.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-01-17
|
| Business code |
621111
|
| Sponsor’s telephone number |
8472344985
|
| Plan sponsor’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687
|
Plan administrator’s name and address
| Administrator’s EIN |
362673377 |
| Plan administrator’s name |
SURGEONS GROUP, S.C. |
| Plan administrator’s
address |
800 WESTMORELAND ROAD, SUITE 205, LAKE FOREST, IL, 600451687 |
| Administrator’s telephone number |
8472344985 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-23 |
| Name of individual signing |
KIM SOBINSKY, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
