INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2017
|
371173489
|
2018-11-09
|
INTERNAL MEDICINE, S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
|
INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2012
|
371173489
|
2013-10-15
|
INTERNAL MEDICINE, S.C.
|
5
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s mailing address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
Plan sponsor’s
address |
4400 W. 95TH STREET, SUITE 312, OAK LAWN, IL, 60453
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2012
|
371173489
|
2013-11-15
|
INTERNAL MEDICINE, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s mailing address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
Plan sponsor’s
address |
4400 W. 95TH STREET, SUITE 312, OAK LAWN, IL, 60453
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-11-15 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-15 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2011
|
371173489
|
2012-07-24
|
INTERNAL MEDICINE, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s mailing address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
Plan sponsor’s
address |
4400 W. 95TH STREET, SUITE 312, OAK LAWN, IL, 60453
|
Plan administrator’s name and address
Administrator’s EIN |
371173489 |
Plan administrator’s name |
INTERNAL MEDICINE, S.C. |
Plan administrator’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453 |
Administrator’s telephone number |
7084993160 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-20 |
Name of individual signing |
RICHARD MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2010
|
371173489
|
2011-05-19
|
INTERNAL MEDICINE, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
Plan administrator’s name and address
Administrator’s EIN |
371173489 |
Plan administrator’s name |
INTERNAL MEDICINE, S.C. |
Plan administrator’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453 |
Administrator’s telephone number |
7084993160 |
Signature of
Role |
Plan administrator |
Date |
2011-05-17 |
Name of individual signing |
RICHARD L. MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-17 |
Name of individual signing |
RICHARD L. MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTERNAL MEDICINE, S.C. 401(K) PLAN
|
2009
|
371173489
|
2010-07-14
|
INTERNAL MEDICINE, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084993160
|
Plan sponsor’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453
|
Plan administrator’s name and address
Administrator’s EIN |
371173489 |
Plan administrator’s name |
INTERNAL MEDICINE, S.C. |
Plan administrator’s
address |
4400 W. 95TH STREET SUITE 312, OAK LAWN, IL, 60453 |
Administrator’s telephone number |
7084993160 |
Signature of
Role |
Plan administrator |
Date |
2010-07-10 |
Name of individual signing |
RICHARD L. MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-10 |
Name of individual signing |
RICHARD L. MON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|