NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2017
|
363122443
|
2018-05-07
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CAREY DR, ROSELLE, IL, 601724910
|
Signature of
Role |
Plan administrator |
Date |
2018-05-07 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-07 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2016
|
363122443
|
2017-08-15
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CAREY DR, ROSELLE, IL, 601724910
|
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 |
|
|
NATU R. PATEL, M.D., PROFIT SHARING PLAN
|
2015
|
363122443
|
2016-09-09
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CAREY DR, ROSELLE, IL, 601724910
|
|
NATU R. PATEL, M.D., PROFIT SHARING PLAN
|
2014
|
363122443
|
2015-09-29
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CASEY LANE, ROSELLE, IL, 60172
|
Signature of
Role |
Plan administrator |
Date |
2015-09-29 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-29 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2013
|
363122443
|
2014-10-09
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CASEY LANE, ROSELLE, IL, 60172
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2013
|
363122443
|
2014-10-11
|
NATU R. PATEL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CASEY LANE, ROSELLE, IL, 60172
|
Signature of
Role |
Plan administrator |
Date |
2014-10-11 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-11 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2012
|
363122443
|
2013-10-09
|
NATU R. PATEL, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CASEY LANE, ROSELLE, IL, 60172
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2011
|
363122443
|
2012-10-09
|
NATU R. PATEL, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CASEY LANE, ROSELLE, IL, 60172
|
Plan administrator’s name and address
Administrator’s EIN |
363122443 |
Plan administrator’s name |
NATU R. PATEL, M.D., S.C. |
Plan administrator’s
address |
284 CASEY LANE, ROSELLE, IL, 60172 |
Administrator’s telephone number |
6302959573 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATU R. PATEL, M.D., S.C., PROFIT SHARING PLAN
|
2010
|
363122443
|
2011-10-15
|
NATU R. PATEL, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Sponsor’s telephone number |
6302959573
|
Plan sponsor’s
address |
284 CAREY LANE, ROSELLE, IL, 60172
|
Plan administrator’s name and address
Administrator’s EIN |
363122443 |
Plan administrator’s name |
NATU R. PATEL, M.D., S.C. |
Plan administrator’s
address |
284 CAREY LANE, ROSELLE, IL, 60172 |
Administrator’s telephone number |
6302959573 |
Signature of
Role |
Plan administrator |
Date |
2011-10-15 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|