OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2023
|
362734017
|
2024-04-18
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 S. WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2022
|
362734017
|
2023-07-26
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 S. WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2021
|
362734017
|
2022-05-18
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2022-05-18 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-18 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2020
|
362734017
|
2021-06-04
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2021-06-04 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-04 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2019
|
362734017
|
2020-08-07
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2020-08-07 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-07 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2018
|
362734017
|
2019-06-26
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2019-06-26 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-26 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2017
|
362734017
|
2018-08-27
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2018-08-27 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-27 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2016
|
362734017
|
2017-08-02
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2017-08-02 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-02 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2015
|
362734017
|
2016-08-16
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
959 SOUTH WAUKEGAN ROAD, 2ND FLOOR, LAKE FOREST, IL, 600452654
|
Signature of
Role |
Plan administrator |
Date |
2016-08-16 |
Name of individual signing |
MICHAEL HUBBELL MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-16 |
Name of individual signing |
MICHAEL HUBBELL MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD. RETIREMENT PLAN
|
2014
|
362734017
|
2015-08-18
|
OB-GYNE ASSOCIATES OF LAKE FOREST, LTD.
|
22
|
|
Three-digit plan number (PN) |
008
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472343250
|
Plan sponsor’s
address |
700 N. WESTMORELAND ROAD, BUILDING C, LAKE FOREST, IL, 600451691
|
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-18 |
Name of individual signing |
MICHAEL HUBBELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|