WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN
|
2021
|
363300615
|
2022-04-18
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2022-04-18 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN
|
2020
|
363300615
|
2022-04-18
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2022-04-18 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN
|
2019
|
363300615
|
2022-04-18
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2022-04-18 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING
|
2017
|
363300615
|
2018-11-14
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2018-11-14 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING
|
2016
|
363300615
|
2017-11-20
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2017-11-20 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
2015
|
363300615
|
2016-11-14
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2016-11-14 |
Name of individual signing |
LAURA C DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
2014
|
363300615
|
2015-11-17
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2015-11-17 |
Name of individual signing |
LAURA DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
2013
|
363300615
|
2015-01-27
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2015-01-27 |
Name of individual signing |
LAURA C. DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN
|
2012
|
363300615
|
2013-10-22
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Signature of
Role |
Plan administrator |
Date |
2013-10-22 |
Name of individual signing |
LAURA C. DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. EMPLOYEES' 401(K) PROFIT SHARING PLAN
|
2011
|
363300615
|
2012-10-22
|
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
7082467222
|
Plan sponsor’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558
|
Plan administrator’s name and address
Administrator’s EIN |
363300615 |
Plan administrator’s name |
WESTERN SPRINGS FAMILY PRACTICE CENTER, LTD. |
Plan administrator’s
address |
5600 S. WOLF ROAD, WESTERN SPRINGS, IL, 60558 |
Administrator’s telephone number |
7082467222 |
Signature of
Role |
Plan administrator |
Date |
2012-10-22 |
Name of individual signing |
LAURA C. DABISCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|