PARKVIEW ORTHOPAEDIC GROUP, S.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
362645598
|
2013-11-14
|
PARKVIEW ORTHOPAEDIC GROUP, S.C.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089232526
|
Plan sponsor’s mailing address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan sponsor’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
362645598 |
Plan administrator’s name |
PARKVIEW ORTHOPAEDIC GROUP, S.C. |
Plan administrator’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7089232526 |
Number of participants as of the end of the plan year
Active participants |
115 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
15 |
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 |
108 |
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 |
2013-11-13 |
Name of individual signing |
ROBERT SEMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-13 |
Name of individual signing |
ROBERT SEMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARKVIEW ORTHOPAEDIC GROUP, S.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
362645598
|
2012-11-13
|
PARKVIEW ORTHOPAEDIC GROUP, S.C.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089232526
|
Plan sponsor’s mailing address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan sponsor’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
362645598 |
Plan administrator’s name |
PARKVIEW ORTHOPAEDIC GROUP, S.C. |
Plan administrator’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7089232526 |
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
15 |
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 |
111 |
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 |
2012-11-13 |
Name of individual signing |
ROBERT SEMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARKVIEW ORTHOPAEDIC GROUP, S.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
362645598
|
2011-11-10
|
PARKVIEW ORTHOPAEDIC GROUP, S.C.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089232526
|
Plan sponsor’s mailing address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan sponsor’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
362645598 |
Plan administrator’s name |
PARKVIEW ORTHOPAEDIC GROUP, S.C. |
Plan administrator’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7089232526 |
Number of participants as of the end of the plan year
Active participants |
124 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
12 |
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 |
111 |
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 |
2011-11-10 |
Name of individual signing |
ROBERT SEMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARKVIEW ORTHOPAEDIC GROUP, S.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
362645598
|
2010-11-11
|
PARKVIEW ORTHOPAEDIC GROUP, S.C.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7089232526
|
Plan sponsor’s mailing address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan sponsor’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463
|
Plan administrator’s name and address
Administrator’s EIN |
362645598 |
Plan administrator’s name |
PARKVIEW ORTHOPAEDIC GROUP, S.C. |
Plan administrator’s
address |
7600 W. COLLEGE DR., PALOS HEIGHTS, IL, 60463 |
Administrator’s telephone number |
7089232526 |
Number of participants as of the end of the plan year
Active participants |
96 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
12 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
102 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-11-11 |
Name of individual signing |
ROBERT SEMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|