SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2015
|
363025217
|
2016-10-11
|
JAMES E. SCHUETZ, M.D. LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474323460
|
Plan sponsor’s
address |
767 PARK AVE WEST, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2014
|
363025217
|
2015-10-08
|
JAMES E. SCHUETZ, M.D. LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474323460
|
Plan sponsor’s
address |
767 PARK AVE WEST, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2013
|
363025217
|
2014-10-09
|
JAMES E. SCHUETZ, M.D. LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474323460
|
Plan sponsor’s
address |
767 PARK AVE WEST, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2012
|
363025217
|
2013-09-30
|
JAMES E. SCHUETZ, M.D. LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474323460
|
Plan sponsor’s
address |
767 PARK AVE WEST, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2011
|
363025217
|
2012-09-27
|
JAMES E. SCHUETZ, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472954820
|
Plan sponsor’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363025217 |
Plan administrator’s name |
JAMES E. SCHUETZ, M.D., LTD. |
Plan administrator’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8472954820 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2010
|
363025217
|
2011-10-14
|
JAMES E. SCHUETZ, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472954820
|
Plan sponsor’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363025217 |
Plan administrator’s name |
JAMES E. SCHUETZ, M.D., LTD. |
Plan administrator’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8472954820 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JAMES SCHUETZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECOND JAMES E. SCHUETZ, M.D., LTD. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
363025217
|
2010-10-11
|
JAMES E. SCHUETZ, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472954820
|
Plan sponsor’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363025217 |
Plan administrator’s name |
JAMES E. SCHUETZ, M.D., LTD. |
Plan administrator’s
address |
767 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8472954820 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
JAMES E. SCHUETZ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
JAMES E. SCHUETZ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|