SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2013
|
363448360
|
2014-10-15
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
LAURENCE SOPHIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2012
|
363448360
|
2013-07-25
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
LAURENCE SOPHIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2011
|
363448360
|
2012-10-10
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
363448360 |
Plan administrator’s name |
SUBURBAN PRACTICE MANAGEMENT, INC. |
Plan administrator’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6309605310 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
LAURENCE SOPHIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
LAURENCE SOPHIAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2010
|
363448360
|
2011-10-17
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
363448360 |
Plan administrator’s name |
SUBURBAN PRACTICE MANAGEMENT, INC. |
Plan administrator’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6309605310 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DINO DELICATA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
DINO DELICATA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2009
|
363448360
|
2010-10-09
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
11
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
363448360 |
Plan administrator’s name |
SUBURBAN PRACTICE MANAGEMENT, INC. |
Plan administrator’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6309605310 |
Signature of
Role |
Plan administrator |
Date |
2010-10-09 |
Name of individual signing |
DINO DELICATA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-09 |
Name of individual signing |
DINO DELICATA,M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2009
|
363448360
|
2011-02-24
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
11
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
363448360 |
Plan administrator’s name |
SUBURBAN PRACTICE MANAGEMENT, INC. |
Plan administrator’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6309605310 |
Signature of
Role |
Plan administrator |
Date |
2011-02-24 |
Name of individual signing |
DINO DELICATA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-24 |
Name of individual signing |
DINO DELICATA , M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUBURBAN PRACTICE MANAGEMENT, INC. PROFIT SHARING PLAN
|
2009
|
363448360
|
2011-04-04
|
SUBURBAN PRACTICE MANAGEMENT, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309605310
|
Plan sponsor’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
363448360 |
Plan administrator’s name |
SUBURBAN PRACTICE MANAGEMENT, INC. |
Plan administrator’s
address |
1034 WARREN AVENUE, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6309605310 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
DINO DELICATA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-04 |
Name of individual signing |
DINO DELICATA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|