RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. DEFINED BENEFIT PLAN & TRUST
|
2011
|
363182892
|
2013-08-28
|
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124401600
|
Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702
|
Plan administrator’s name and address
Administrator’s EIN |
363182892 |
Plan administrator’s name |
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. |
Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702 |
Administrator’s telephone number |
3124401600 |
Signature of
Role |
Plan administrator |
Date |
2013-08-28 |
Name of individual signing |
RANDALL M. TOIG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-28 |
Name of individual signing |
RANDALL M. TOIG,MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. DEFINED BENEFIT PLAN & TRUST
|
2010
|
363182892
|
2012-09-13
|
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124401600
|
Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702
|
Plan administrator’s name and address
Administrator’s EIN |
363182892 |
Plan administrator’s name |
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. |
Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702 |
Administrator’s telephone number |
3124401600 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
RANDALL M. TOIG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-13 |
Name of individual signing |
RANDALL M.TOIG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. DEFINED BENEFIT PLAN & TRUST
|
2009
|
363182892
|
2011-09-14
|
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124401600
|
Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702
|
Plan administrator’s name and address
Administrator’s EIN |
363182892 |
Plan administrator’s name |
RANDALL M. TOIG, M.D. OBSTETRICS AND GYNECOLOGY, P.C. |
Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 830, CHICAGO, IL, 606118702 |
Administrator’s telephone number |
3124401600 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
RANDALL M. TOIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|