NARENDRA D. DABHADE, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2020
|
363101537
|
2021-06-25
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2021-06-25 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-25 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. DEFINED BENEFIT PLAN
|
2020
|
363101537
|
2021-06-25
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2021-06-25 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-25 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2019
|
363101537
|
2020-06-23
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-22 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. DEFINED BENEFIT PLAN
|
2019
|
363101537
|
2020-06-23
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-22 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. DEFINED BENEFIT PLAN
|
2018
|
363101537
|
2019-10-01
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2018
|
363101537
|
2019-10-01
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. DEFINED BENEFIT PLAN
|
2017
|
363101537
|
2018-09-19
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-19 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2017
|
363101537
|
2018-09-19
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-19 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. DEFINED BENEFIT PLAN
|
2016
|
363101537
|
2017-04-14
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2017-04-14 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-14 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NARENDRA D. DABHADE, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2016
|
363101537
|
2017-04-14
|
NARENDRA D. DABHADE, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474553302
|
Plan sponsor’s
address |
9722 GRAND AVENUE, FRANKLIN PARK, IL, 60131
|
Signature of
Role |
Plan administrator |
Date |
2017-04-14 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-14 |
Name of individual signing |
NARENDRA D. DABHADE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|