MITCHELL GOLDFLIES, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
363100914
|
2013-05-28
|
MITCHELL GOLDFLIES, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737923311
|
Plan sponsor’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MITCHELL GOLDFLIES, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363100914
|
2012-04-23
|
MITCHELL GOLDFLIES, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737923311
|
Plan sponsor’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901
|
Plan administrator’s name and address
Administrator’s EIN |
363100914 |
Plan administrator’s name |
MITCHELL GOLDFLIES, M.D., S.C. |
Plan administrator’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901 |
Administrator’s telephone number |
7737923311 |
Signature of
Role |
Plan administrator |
Date |
2012-04-23 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-23 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MITCHELL GOLDFLIES, M.D., S.C. PROFIT SHARING PLAN
|
2010
|
363100914
|
2011-04-22
|
MITCHELL GOLDFLIES, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737923311
|
Plan sponsor’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901
|
Plan administrator’s name and address
Administrator’s EIN |
363100914 |
Plan administrator’s name |
MITCHELL GOLDFLIES, M.D., S.C. |
Plan administrator’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901 |
Administrator’s telephone number |
7737923311 |
Signature of
Role |
Plan administrator |
Date |
2011-04-22 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-22 |
Name of individual signing |
MITCHELL GOLDFLIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MITCHELL GOLDFLIES, M.D., S.C. PROFIT SHARING PLAN
|
2009
|
363100914
|
2010-07-10
|
MITCHELL GOLDFLIES, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3127923311
|
Plan sponsor’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901
|
Plan administrator’s name and address
Administrator’s EIN |
363100914 |
Plan administrator’s name |
MITCHELL GOLDFLIES, M.D., S.C. |
Plan administrator’s
address |
6445 N. CENTRAL AVENUE, CHICAGO, IL, 606462901 |
Administrator’s telephone number |
3127923311 |
Signature of
Role |
Plan administrator |
Date |
2010-07-10 |
Name of individual signing |
MITCHELL LEE GOLDFLIES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-10 |
Name of individual signing |
MITCHELL LEE GOLDFLIES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|