| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7083833010
|
| Plan sponsor’s
address |
6853 W NORTH AVENUE, OAK PARK, IL, 60302
|
Plan administrator’s name and address
| Administrator’s EIN |
362998731 |
| Plan administrator’s name |
ROSA HAE S CHOI M D S C |
| Plan administrator’s
address |
6853 W NORTH AVENUE, OAK PARK, IL, 60302 |
| Administrator’s telephone number |
7083833010 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-07 |
| Name of individual signing |
ROSA HAE S CHOI MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
