THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
261302896
|
2013-05-31
|
THE ALTERNATIVE SOURCE MEDICAL, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8474190123
|
Plan sponsor’s
address |
1566 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2013-05-30 |
Name of individual signing |
JAMES HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ALTERNATIVE SOURCE MEDICAL, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
261302896
|
2012-07-06
|
THE ALTERNATIVE SOURCE MEDICAL, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
423800
|
Sponsor’s telephone number |
8474190123
|
Plan sponsor’s
address |
1566 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
261302896 |
Plan administrator’s name |
THE ALTERNATIVE SOURCE MEDICAL, LLC |
Plan administrator’s
address |
1566 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089 |
Administrator’s telephone number |
8474190123 |
Signature of
Role |
Plan administrator |
Date |
2012-07-06 |
Name of individual signing |
JAMES HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|