VALLEY MEDICAL & CARDIAC CLINIC, LTD 401K PLAN AND TRUST
|
2011
|
363108082
|
2012-09-10
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478882320
|
Plan sponsor’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
363108082 |
Plan administrator’s name |
VALLEY MEDICAL & CARDIAC CLINIC, LTD |
Plan administrator’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123 |
Administrator’s telephone number |
8478882320 |
Signature of
Role |
Plan administrator |
Date |
2012-09-10 |
Name of individual signing |
RICHARD B. PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-10 |
Name of individual signing |
RICHARD B. PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD 401K PLAN AND TRUST
|
2010
|
363108082
|
2011-09-13
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478882557
|
Plan sponsor’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
363108082 |
Plan administrator’s name |
VALLEY MEDICAL & CARDIAC CLINIC, LTD |
Plan administrator’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123 |
Administrator’s telephone number |
8478882557 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-09-13 |
Name of individual signing |
RICHARD B. PARK, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD 401K PLAN AND TRUST
|
2010
|
363108082
|
2011-09-13
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478882557
|
Plan sponsor’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
363108082 |
Plan administrator’s name |
VALLEY MEDICAL & CARDIAC CLINIC, LTD |
Plan administrator’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123 |
Administrator’s telephone number |
8478882557 |
Signature of
Role |
Plan administrator |
Date |
2011-09-13 |
Name of individual signing |
RICHARD B. PARK, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-13 |
Name of individual signing |
RICHARD B. PARK, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD 401K PLAN AND TRUST
|
2009
|
363108082
|
2010-10-13
|
VALLEY MEDICAL & CARDIAC CLINIC, LTD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478882557
|
Plan sponsor’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
363108082 |
Plan administrator’s name |
VALLEY MEDICAL & CARDIAC CLINIC, LTD |
Plan administrator’s
address |
87 N. AIRLITE ST., SUITE 100, ELGIN, IL, 60123 |
Administrator’s telephone number |
8478882557 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
RICHARD B. PARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|