V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN
|
2016
|
363046082
|
2017-10-01
|
V. R. KUCHIPUDI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472914856
|
Plan sponsor’s mailing address |
18 HAMILTON LN, OAK BROOK, IL, 605231753
|
Plan sponsor’s
address |
18 HAMILTON LN, OAK BROOK, IL, 605231753
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-10-01 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-01 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN
|
2016
|
363046082
|
2017-08-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302722324
|
Plan sponsor’s
address |
18 HAMILTON LN, OAK BROOK, IL, 605231753
|
Signature of
Role |
Plan administrator |
Date |
2017-08-15 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-15 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN
|
2015
|
363046082
|
2016-10-17
|
V. R. KUCHIPUDI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN
|
2015
|
363046082
|
2016-10-17
|
V. R. KUCHIPUDI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN
|
2014
|
363046082
|
2015-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
|
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN
|
2014
|
363046082
|
2015-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
|
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN
|
2013
|
363046082
|
2014-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN
|
2013
|
363046082
|
2014-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PROFIT SHARING PLAN
|
2012
|
363046082
|
2013-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. R. KUCHIPUDI, M.D., S.C., PENSION PLAN
|
2012
|
363046082
|
2013-10-15
|
V. R. KUCHIPUDI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083870121
|
Plan sponsor’s mailing address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Plan sponsor’s
address |
3101 S. MAPLE AVENUE, BROOKFIELD, IL, 60513
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|