STEVEN BLOCH, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2014
|
363090594
|
2015-10-08
|
STEVEN BLOCH, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474320840
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST, SUITE 2N, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
LEO J. WAYMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
LEO J. WAYMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN
|
2013
|
363090594
|
2014-06-27
|
STEVEN BLOCH, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
STEVEN BLOCH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN
|
2012
|
363090594
|
2013-09-30
|
STEVEN BLOCH, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-24 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN
|
2011
|
363090594
|
2012-08-24
|
STEVEN BLOCH, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363090594 |
Plan administrator’s name |
STEVEN BLOCH, M.D., LTD. |
Plan administrator’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-22 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN
|
2010
|
363090594
|
2011-06-20
|
STEVEN BLOCH, M.D., LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363090594 |
Plan administrator’s name |
STEVEN BLOCH, M.D., LTD. |
Plan administrator’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035 |
Signature of
Role |
Plan administrator |
Date |
2011-06-20 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-20 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN BLOCH, MD LTD 401(K) PROFIT SHARING PLAN
|
2009
|
363090594
|
2010-10-05
|
STEVEN BLOCH, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
363090594 |
Plan administrator’s name |
STEVEN BLOCH, M.D., LTD. |
Plan administrator’s
address |
1160 PARK AVENUE WEST - SUITE 2N, HIGHLAND PARK, IL, 60035 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-06 |
Name of individual signing |
STEVEN BLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|