JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN
|
2011
|
363000901
|
2012-04-13
|
JERROLD SHAPIRO, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732835900
|
Plan sponsor’s
address |
4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728
|
Plan administrator’s name and address
Administrator’s EIN |
363000901 |
Plan administrator’s name |
JERROLD SHAPIRO, M.D., LTD. |
Plan administrator’s
address |
4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728 |
Administrator’s telephone number |
7732835900 |
Signature of
Role |
Plan administrator |
Date |
2012-04-13 |
Name of individual signing |
JERROLD SHAPIRO MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-13 |
Name of individual signing |
JERROLD SHAPIRO MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN
|
2010
|
363000901
|
2011-06-30
|
JERROLD SHAPIRO, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732835900
|
Plan sponsor’s
address |
4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728
|
Plan administrator’s name and address
Administrator’s EIN |
363000901 |
Plan administrator’s name |
JERROLD SHAPIRO, M.D., LTD. |
Plan administrator’s
address |
4801 W. PETERSON AVENUE, SUITE 610, CHICAGO, IL, 606465728 |
Administrator’s telephone number |
7732835900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
JERROLD SHAPIRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
JERROLD SHAPIRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JERROLD SHAPIRO, M.D., LTD. PROFIT SHARING PLAN
|
2009
|
363000901
|
2010-09-29
|
JERROLD SHAPIRO, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732835900
|
Plan sponsor’s
address |
4801 WEST PETERSON AVENUE, SUITE 61, CHICAGO, IL, 606465728
|
Plan administrator’s name and address
Administrator’s EIN |
363000901 |
Plan administrator’s name |
JERROLD SHAPIRO, M.D., LTD. |
Plan administrator’s
address |
4801 WEST PETERSON AVENUE, SUITE 61, CHICAGO, IL, 606465728 |
Administrator’s telephone number |
7732835900 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
JERROLD SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-29 |
Name of individual signing |
JERROLD SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|