ROBERT L. HOLSTEIN, M.D., S.C., PROFIT-SHARING PLAN AND TRUST
|
2012
|
363055191
|
2013-09-20
|
ROBERT L. HOLSTEIN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-01
|
Business code |
621111
|
Plan sponsor’s
address |
150 E. HURON, SUITE 805, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2013-09-23 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-23 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT L. HOLSTEIN, M.D., S.C., PROFIT-SHARING PLAN AND TRUST
|
2011
|
363055191
|
2012-07-13
|
ROBERT L. HOLSTEIN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-01
|
Business code |
621111
|
Plan sponsor’s
address |
150 E. HURON, SUITE 805, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363055191 |
Plan administrator’s name |
ROBERT L. HOLSTEIN, M.D., S.C. |
Plan administrator’s
address |
150 E. HURON, SUITE 805, CHICAGO, IL, 60611 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-28 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERT L. HOLSTEIN, M.D., S.C., PROFIT-SHARING PLAN AND TRUST
|
2010
|
363055191
|
2011-06-14
|
ROBERT L. HOLSTEIN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-01
|
Business code |
621111
|
Plan sponsor’s
address |
150 E. HURON, SUITE 805, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363055191 |
Plan administrator’s name |
ROBERT L. HOLSTEIN, M.D., S.C. |
Plan administrator’s
address |
150 E. HURON, SUITE 805, CHICAGO, IL, 60611 |
Signature of
Role |
Plan administrator |
Date |
2011-06-13 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-13 |
Name of individual signing |
ROBERT HOLSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|