ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC 401K PROFIT SHARING PLAN
|
2012
|
263649884
|
2013-07-16
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3312214350
|
Plan sponsor’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
263649884 |
Plan administrator’s name |
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC |
Plan administrator’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
3312214350 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC 401K PROFIT SHARING PLAN
|
2011
|
263649884
|
2012-04-13
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308340400
|
Plan sponsor’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
263649884 |
Plan administrator’s name |
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC |
Plan administrator’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6308340400 |
Signature of
Role |
Plan administrator |
Date |
2012-04-10 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-10 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC 401K PROFIT SHARING PLAN
|
2010
|
263649884
|
2011-07-13
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308340400
|
Plan sponsor’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
263649884 |
Plan administrator’s name |
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC |
Plan administrator’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6308340400 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC 401K PROFIT SHARING PLAN
|
2009
|
263649884
|
2010-07-14
|
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308340400
|
Plan sponsor’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
263649884 |
Plan administrator’s name |
ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC |
Plan administrator’s
address |
305 NORTH YORK ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6308340400 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
KRISTINA KATZOVITZ M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|