EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2016
|
362751683
|
2017-06-16
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732822520
|
Plan sponsor’s
address |
5641 W IRVING PARK ROAD, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
EDWARD V. GHISLANDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2015
|
362751683
|
2016-06-27
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732822520
|
Plan sponsor’s
address |
5641 W IRVING PARK ROAD, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2016-06-27 |
Name of individual signing |
EDWARD V. GHISLANDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2014
|
362751683
|
2015-06-11
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732822520
|
Plan sponsor’s
address |
5641 W IRVING PARK ROAD, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2015-06-11 |
Name of individual signing |
EDWARD V. GHISLANDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2013
|
362751683
|
2014-07-25
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
5641 W IRVING PARK ROAD, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
EDWARD V. GHISLANDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2012
|
362751683
|
2013-07-19
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2011
|
362751683
|
2012-07-13
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
362751683 |
Plan administrator’s name |
EDWARD V. GHISLANDI, M.D., P.C. |
Plan administrator’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-29 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2010
|
362751683
|
2011-06-03
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
362751683 |
Plan administrator’s name |
EDWARD V. GHISLANDI, M.D., P.C. |
Plan administrator’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634 |
Signature of
Role |
Plan administrator |
Date |
2011-06-03 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-03 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD V. GHISLANDI, M.D., P.C. 401-K PROFIT-SHARING PLAN & TRUST
|
2009
|
362751683
|
2010-06-01
|
EDWARD V. GHISLANDI, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634
|
Plan sponsor’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
362751683 |
Plan administrator’s name |
EDWARD V. GHISLANDI, M.D., P.C. |
Plan administrator’s
address |
5641 W. IRVING PARK ROAD, CHICAGO, IL, 60634 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-05-28 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-28 |
Name of individual signing |
EDWARD GHISLANDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|