J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN
|
2011
|
364053350
|
2013-01-07
|
J. E. BERTOLINI, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8157414104
|
Plan sponsor’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
|
Plan administrator’s name and address
Administrator’s EIN |
364053350 |
Plan administrator’s name |
J. E. BERTOLINI, M.D., S.C. |
Plan administrator’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136 |
Administrator’s telephone number |
8157414104 |
Signature of
Role |
Plan administrator |
Date |
2013-01-03 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-03 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN
|
2010
|
364053350
|
2012-01-24
|
J. E. BERTOLINI, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8157414104
|
Plan sponsor’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
|
Plan administrator’s name and address
Administrator’s EIN |
364053350 |
Plan administrator’s name |
J. E. BERTOLINI, M.D., S.C. |
Plan administrator’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136 |
Administrator’s telephone number |
8157414104 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
364053350
|
2011-01-19
|
J. E. BERTOLINI, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8157414104
|
Plan sponsor’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
|
Plan administrator’s name and address
Administrator’s EIN |
364053350 |
Plan administrator’s name |
J. E. BERTOLINI, M.D., S.C. |
Plan administrator’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136 |
Administrator’s telephone number |
8157414104 |
Signature of
Role |
Plan administrator |
Date |
2011-01-19 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-19 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. E. BERTOLINI, M.D., S.C. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
364053350
|
2011-01-13
|
J. E. BERTOLINI, M.D., S.C.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
8157414104
|
Plan sponsor’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136
|
Plan administrator’s name and address
Administrator’s EIN |
364053350 |
Plan administrator’s name |
J. E. BERTOLINI, M.D., S.C. |
Plan administrator’s
address |
202 N. HAMMES, SUITE D, JOLIET, IL, 604358136 |
Administrator’s telephone number |
8157414104 |
Signature of
Role |
Plan administrator |
Date |
2011-01-13 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-13 |
Name of individual signing |
JERRY BERTOLINI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|