DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2017
|
363428689
|
2018-04-16
|
DRS. PILDES & PIERCE, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s
address |
675 WEST NORTH AVENUE, SUITE 505, MELROSE PARK, IL, 60160
|
Signature of
Role |
Plan administrator |
Date |
2018-04-16 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2016
|
363428689
|
2017-03-06
|
DRS. PILDES & PIERCE, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s
address |
675 WEST NORTH AVENUE, SUITE 505, MELROSE PARK, IL, 60160
|
Signature of
Role |
Plan administrator |
Date |
2017-03-03 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2015
|
363428689
|
2016-07-05
|
DRS. PILDES & PIERCE, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s
address |
675 WEST NORTH AVENUE, SUITE 505, MELROSE PARK, IL, 60160
|
Signature of
Role |
Plan administrator |
Date |
2016-07-05 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2011
|
363428689
|
2012-05-18
|
DRS. PILDES & PIERCE, S.C.
|
9
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s mailing address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160
|
Plan sponsor’s
address |
SUITE 505, MELROSE PARK, IL, 60160
|
Plan administrator’s name and address
Administrator’s EIN |
363428689 |
Plan administrator’s name |
DRS. PILDES & PIERCE, S.C. |
Plan administrator’s
address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160 |
Administrator’s telephone number |
7084504545 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
9 |
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 |
2012-05-17 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-17 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2010
|
363428689
|
2011-03-28
|
DRS. PILDES & PIERCE, S.C.
|
9
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s mailing address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160
|
Plan sponsor’s
address |
SUITE 505, MELROSE PARK, IL, 60160
|
Plan administrator’s name and address
Administrator’s EIN |
363428689 |
Plan administrator’s name |
DRS. PILDES & PIERCE, S.C. |
Plan administrator’s
address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160 |
Administrator’s telephone number |
7084504545 |
Number of participants as of the end of the plan year
Active participants |
9 |
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 |
9 |
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 |
2011-03-26 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-26 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRS. PILDES & PIERCE, S.C. CROSS-TESTED PROFIT SHARING PLAN
|
2009
|
363428689
|
2010-06-16
|
DRS. PILDES & PIERCE, S.C.
|
10
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084504545
|
Plan sponsor’s mailing address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160
|
Plan sponsor’s
address |
SUITE 505, MELROSE PARK, IL, 60160
|
Plan administrator’s name and address
Administrator’s EIN |
363428689 |
Plan administrator’s name |
DRS. PILDES & PIERCE, S.C. |
Plan administrator’s
address |
675 WEST NORTH AVENUE, MELROSE PARK, IL, 60160 |
Administrator’s telephone number |
7084504545 |
Number of participants as of the end of the plan year
Active participants |
9 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
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 |
2010-06-15 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-15 |
Name of individual signing |
SCOTT M. PIERCE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|