DAVID L. FISHMAN, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
363259841
|
2013-10-05
|
DAVID L. FISHMAN, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732823311
|
Plan sponsor’s
address |
5600 W ADDISON, SUITE 505, CHICAGO, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2013-10-05 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-05 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. FISHMAN, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363259841
|
2012-09-25
|
DAVID L. FISHMAN, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732823311
|
Plan sponsor’s
address |
5600 W ADDISON, SUITE 505, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363259841 |
Plan administrator’s name |
DAVID L. FISHMAN, M.D., S.C. |
Plan administrator’s
address |
5600 W ADDISON, SUITE 505, CHICAGO, IL, 60634 |
Administrator’s telephone number |
7732823311 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-25 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. FISHMAN, M.D., S.C. PROFIT SHARING PLAN
|
2010
|
363259841
|
2011-10-10
|
DAVID L. FISHMAN, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732823311
|
Plan sponsor’s
address |
5600 W ADDISON, SUITE 505, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363259841 |
Plan administrator’s name |
DAVID L. FISHMAN, M.D., S.C. |
Plan administrator’s
address |
5600 W ADDISON, SUITE 505, CHICAGO, IL, 60634 |
Administrator’s telephone number |
7732823311 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
DAVID L FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|