BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2012
|
362925348
|
2013-06-11
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2011
|
362925348
|
2012-07-26
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
362925348
|
2011-06-24
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-12
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-26
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-20
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-20
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-13
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-20
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BASUDEB SAHA, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
362925348
|
2010-07-12
|
BASUDEB SAHA, M.D., S.C.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153440620
|
Plan sponsor’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362925348 |
Plan administrator’s name |
BASUDEB SAHA, M.D., S.C. |
Plan administrator’s
address |
4318 W. CRYSTAL LAKE ROAD, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8153440620 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
BASUDEB SAHA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|