ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN & TRUST
|
2021
|
363167780
|
2022-06-17
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BLVD., SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2022-06-17 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-17 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN & TRUST
|
2020
|
363167780
|
2021-07-13
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BLVD., SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-13 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN & TRUST
|
2019
|
363167780
|
2020-09-09
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BLVD., SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2020-09-09 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-09 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN & TRUST
|
2018
|
363167780
|
2019-07-18
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BLVD., SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-18 |
Name of individual signing |
TERRY LACASSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN & TRUST
|
2017
|
363167780
|
2018-07-26
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BLVD., SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
JAMES FISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
JAMES FISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2016
|
363167780
|
2017-06-14
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2015
|
363167780
|
2016-07-28
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2014
|
363167780
|
2015-07-31
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2013
|
363167780
|
2014-08-06
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2014-08-06 |
Name of individual signing |
PAUL BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-06 |
Name of individual signing |
PAUL BOGOSLAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2012
|
363167780
|
2013-07-17
|
ORTHOPEDIC & SPINE SURGERY ASSOCIATES, LTD.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479315300
|
Plan sponsor’s
address |
2350 ROYAL BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
JAMES S. FISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
JAMES S. FISTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|