FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2012
|
363328642
|
2013-04-30
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308301900
|
Plan sponsor’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
|
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-30 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2011
|
363328642
|
2013-04-30
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308301900
|
Plan sponsor’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
|
Plan administrator’s name and address
Administrator’s EIN |
363328642 |
Plan administrator’s name |
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. |
Plan administrator’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107 |
Administrator’s telephone number |
6308301900 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-30 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2010
|
363328642
|
2012-09-07
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308301900
|
Plan sponsor’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
|
Plan administrator’s name and address
Administrator’s EIN |
363328642 |
Plan administrator’s name |
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. |
Plan administrator’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107 |
Administrator’s telephone number |
6308301900 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-07 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2009
|
363328642
|
2011-09-12
|
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1987-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308301900
|
Plan sponsor’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107
|
Plan administrator’s name and address
Administrator’s EIN |
363328642 |
Plan administrator’s name |
FOX VALLEY INTERNAL MEDICINE ASSOCIATES, S.C. |
Plan administrator’s
address |
403 WEST IRVING PARK ROAD, STREAMWOOD, IL, 60107 |
Administrator’s telephone number |
6308301900 |
Signature of
Role |
Plan administrator |
Date |
2011-09-12 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-12 |
Name of individual signing |
ALAN BRONGIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|