ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2023
|
362696189
|
2024-07-08
|
ARLINGTON DERMATOLOGY, S.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-08 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. 401(K) PROFIT SHARING PLAN
|
2023
|
362696189
|
2024-05-10
|
ARLINGTON DERMATOLOGY, S.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2242328097
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2024-05-10 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-10 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. 401(K) PROFIT SHARING PLAN
|
2022
|
362696189
|
2023-09-11
|
ARLINGTON DERMATOLOGY, S.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2242328097
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
|
ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2022
|
362696189
|
2023-10-02
|
ARLINGTON DERMATOLOGY, S.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-02 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2021
|
362696189
|
2022-10-04
|
ARLINGTON DERMATOLOGY, S.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-04 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. 401(K) PROFIT SHARING PLAN
|
2021
|
362696189
|
2022-07-15
|
ARLINGTON DERMATOLOGY, S.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2242328097
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-15 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2020
|
362696189
|
2021-08-25
|
ARLINGTON DERMATOLOGY, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2021-04-10 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-10 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2020
|
362696189
|
2021-04-10
|
ARLINGTON DERMATOLOGY, S.C.
|
24
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2021-04-10 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-10 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. 401(K) PROFIT SHARING PLAN
|
2020
|
362696189
|
2021-04-26
|
ARLINGTON DERMATOLOGY, S.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2242328097
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2021-04-26 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-26 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON DERMATOLOGY, S.C. CASH BALANCE PENSION PLAN
|
2019
|
362696189
|
2020-07-11
|
ARLINGTON DERMATOLOGY, S.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473925440
|
Plan sponsor’s
address |
5301 KEYSTONE COURT, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2020-07-11 |
Name of individual signing |
MICHAEL BUKHALO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-11 |
Name of individual signing |
MICHAEL BUKHALO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|