CYRIL M. CHRABOT, M. D. , S. C. PROFIT SHARING PLAN
|
2015
|
363198866
|
2016-02-15
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229
|
Signature of
Role |
Plan administrator |
Date |
2016-02-15 |
Name of individual signing |
CYRIL M. CHRABOT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-15 |
Name of individual signing |
CYRIL M. CHRABOT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2014
|
363198866
|
2015-06-06
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229
|
Signature of
Role |
Plan administrator |
Date |
2015-06-06 |
Name of individual signing |
CYRIL M. CHRABOT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-06 |
Name of individual signing |
CYRIL M. CHRABOT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2013
|
363198866
|
2014-07-01
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229
|
Signature of
Role |
Plan administrator |
Date |
2014-07-01 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-01 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
363198866
|
2013-05-30
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229
|
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-29 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363198866
|
2012-05-31
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229
|
Plan administrator’s name and address
Administrator’s EIN |
363198866 |
Plan administrator’s name |
CYRIL M. CHRABOT, M.D., S.C. |
Plan administrator’s
address |
6925 W. ARCHER AVE., CHICAGO, IL, 606382229 |
Administrator’s telephone number |
7735862099 |
Signature of
Role |
Plan administrator |
Date |
2012-05-31 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2010
|
363198866
|
2011-07-07
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 WEST ARCHER AVENUE, CHICAGO, IL, 606382229
|
Plan administrator’s name and address
Administrator’s EIN |
363198866 |
Plan administrator’s name |
CYRIL M. CHRABOT, M.D., S.C. |
Plan administrator’s
address |
6925 WEST ARCHER AVENUE, CHICAGO, IL, 606382229 |
Administrator’s telephone number |
7735862099 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYRIL M. CHRABOT, M.D., S.C. PROFIT SHARING PLAN
|
2009
|
363198866
|
2010-06-21
|
CYRIL M. CHRABOT, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7735862099
|
Plan sponsor’s
address |
6925 WEST ARCHER AVENUE, CHICAGO, IL, 606382229
|
Plan administrator’s name and address
Administrator’s EIN |
363198866 |
Plan administrator’s name |
CYRIL M. CHRABOT, M.D., S.C. |
Plan administrator’s
address |
6925 WEST ARCHER AVENUE, CHICAGO, IL, 606382229 |
Administrator’s telephone number |
7735862099 |
Signature of
Role |
Plan administrator |
Date |
2010-06-20 |
Name of individual signing |
CYRIL CHRABOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|