ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST
|
2012
|
362714770
|
2013-08-05
|
ASSOCIATES IN SURGERY, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-02-28
|
Business code |
621111
|
Plan sponsor’s
address |
9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST
|
2011
|
362714770
|
2012-08-14
|
ASSOCIATES IN SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-02-28
|
Business code |
621111
|
Plan sponsor’s
address |
9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076
|
Plan administrator’s name and address
Administrator’s EIN |
362714770 |
Plan administrator’s name |
ASSOCIATES IN SURGERY, LTD. |
Plan administrator’s
address |
9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076 |
Signature of
Role |
Plan administrator |
Date |
2012-08-03 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-03 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUKE BAKERY, INC. PROFIT SHARING PLAN
|
2010
|
370963444
|
2011-06-20
|
DUKE BAKERY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
6184622922
|
Plan sponsor’s
address |
819 HENRY ST, ALTON, IL, 620023637
|
Plan administrator’s name and address
Administrator’s EIN |
370963444 |
Plan administrator’s name |
DUKE BAKERY, INC. |
Plan administrator’s
address |
819 HENRY ST, ALTON, IL, 620023637 |
Administrator’s telephone number |
6184622922 |
Signature of
Role |
Plan administrator |
Date |
2011-06-20 |
Name of individual signing |
MICHAEL DOUCLEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN SURGERY, LTD., PROFIT-SHARING PLAN & TRUST
|
2010
|
362714770
|
2011-06-15
|
ASSOCIATES IN SURGERY, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-02-28
|
Business code |
621111
|
Plan sponsor’s
address |
9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076
|
Plan administrator’s name and address
Administrator’s EIN |
362714770 |
Plan administrator’s name |
ASSOCIATES IN SURGERY, LTD. |
Plan administrator’s
address |
9669 N. KENTON - SUITE 602, SKOKIE, IL, 60076 |
Signature of
Role |
Plan administrator |
Date |
2011-06-15 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-15 |
Name of individual signing |
PHILLIP ROSETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUKE BAKERY, INC. PROFIT SHARING PLAN
|
2009
|
370963444
|
2010-07-26
|
DUKE BAKERY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
6184622922
|
Plan sponsor’s
address |
819 HENRY ST, ALTON, IL, 620023637
|
Plan administrator’s name and address
Administrator’s EIN |
370963444 |
Plan administrator’s name |
DUKE BAKERY, INC. |
Plan administrator’s
address |
819 HENRY ST, ALTON, IL, 620023637 |
Administrator’s telephone number |
6184622922 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
MICHAEL DOUCLEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|