MOTILAL A. BHATIA, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
363191463
|
2013-02-06
|
MOTILAL A. BHATIA, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089574011
|
Plan sponsor’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429
|
Signature of
Role |
Plan administrator |
Date |
2013-02-06 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-06 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTILAL A. BHATIA, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363191463
|
2012-05-02
|
MOTILAL A. BHATIA, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089574011
|
Plan sponsor’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429
|
Plan administrator’s name and address
Administrator’s EIN |
363191463 |
Plan administrator’s name |
MOTILAL A. BHATIA, M.D., S.C. |
Plan administrator’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429 |
Administrator’s telephone number |
7089574011 |
Signature of
Role |
Plan administrator |
Date |
2012-05-02 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-02 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTILAL A. BHATIA, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363191463
|
2012-11-27
|
MOTILAL A. BHATIA, M.D., S.C.
|
4
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089574011
|
Plan sponsor’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429
|
Plan administrator’s name and address
Administrator’s EIN |
363191463 |
Plan administrator’s name |
MOTILAL A. BHATIA, M.D., S.C. |
Plan administrator’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429 |
Administrator’s telephone number |
7089574011 |
Signature of
Role |
Plan administrator |
Date |
2012-11-27 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-27 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOTILAL A. BHATIA, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363191463
|
2012-11-27
|
MOTILAL A. BHATIA, M.D., S.C.
|
4
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089574011
|
Plan sponsor’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429
|
Plan administrator’s name and address
Administrator’s EIN |
363191463 |
Plan administrator’s name |
MOTILAL A. BHATIA, M.D., S.C. |
Plan administrator’s
address |
17850 S. KEDZIE, SUITE 2100, HAZELCREST, IL, 60429 |
Administrator’s telephone number |
7089574011 |
Signature of
Role |
Plan administrator |
Date |
2012-11-27 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-27 |
Name of individual signing |
MOTILAL A. BHATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|