GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2013
|
362721291
|
2014-07-22
|
GENERAL & VASCULAR SURGERY, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
RAUL ARON M.D. OR LEO FARBOTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2013
|
362721291
|
2014-10-20
|
GENERAL & VASCULAR SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DROVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2014-10-20 |
Name of individual signing |
RAUL ARON, MD OR LEO FARBOTA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2012
|
362721291
|
2013-07-16
|
GENERAL & VASCULAR SURGERY, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
RAUL ARON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2011
|
362721291
|
2012-08-08
|
GENERAL & VASCULAR SURGERY, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2012-08-08 |
Name of individual signing |
RAUL ARON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
362721291
|
2011-09-20
|
GENERAL & VASCULAR SURGERY, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
RAUL ARON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENERAL & VASCULAR SURGERY, LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
362721291
|
2010-07-14
|
GENERAL & VASCULAR SURGERY, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476956000
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750
|
Plan administrator’s name and address
Administrator’s EIN |
362721291 |
Plan administrator’s name |
GENERAL & VASCULAR SURGERY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, 3RD FLOOR, ELGIN, IL, 601234750 |
Administrator’s telephone number |
8476956000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
RAUL ARON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|