V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2013
|
363142142
|
2014-08-08
|
V. BHOOPAL, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 SOUTH RIDGELAND AVENUE, SUITE E, PALOS HEIGHTS, IL, 60463
|
Signature of
Role |
Plan administrator |
Date |
2014-08-08 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2013
|
363142142
|
2014-07-29
|
V. BHOOPAL, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 SOUTH RIDGELAND AVENUE, SUITE E, PALOS HEIGHTS, IL, 60463
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2012
|
363142142
|
2013-10-10
|
V. BHOOPAL, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 SOUTH RIDGELAND AVENUE, SUITE E, PALOS HEIGHTS, IL, 60463
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2012
|
363142142
|
2013-10-09
|
V. BHOOPAL, M.D., S.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 SOUTH RIDGELAND AVENUE, SUITE E, PALOS HEIGHTS, IL, 60463
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2011
|
363142142
|
2012-10-14
|
V. BHOOPAL, M.D., S.C.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 S. RIDGELAND AVE., STE. E, PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
363142142 |
Plan administrator’s name |
V. BHOOPAL, M.D., S.C. |
Plan administrator’s
address |
12800 S. RIDGELAND AVE., STE. E, PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7083884911 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
V. BHOOPAL, M.D., S.C. EMPLOYEES' PENSION PLAN & TRUST
|
2011
|
363142142
|
2013-01-02
|
V. BHOOPAL, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083884911
|
Plan sponsor’s
address |
12800 S. RIDGELAND AVE., STE. E, PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
363142142 |
Plan administrator’s name |
V. BHOOPAL, M.D., S.C. |
Plan administrator’s
address |
12800 S. RIDGELAND AVE., STE. E, PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7083884911 |
Signature of
Role |
Plan administrator |
Date |
2013-01-02 |
Name of individual signing |
VASIREDDY BHOOPAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|