ALLAN O. MUEHRCKE, M.D., S.C. EMPLOYEES RETIREMENT PLAN AND TRUST
|
2011
|
363331565
|
2013-04-30
|
ALLAN O. MUEHRCKE, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7088484630
|
Plan sponsor’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510
|
Plan administrator’s name and address
Administrator’s EIN |
363331565 |
Plan administrator’s name |
ALLAN O. MUEHRCKE, M.D., S.C. |
Plan administrator’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510 |
Administrator’s telephone number |
7088484630 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
ALLAN O. MUEHRCKE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLAN O. MUEHRCKE, M.D., S.C. EMPLOYEES RETIREMENT PLAN AND TRUST
|
2010
|
363331565
|
2012-05-29
|
ALLAN O. MUEHRCKE, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-12-01
|
Business code |
621111
|
Plan sponsor’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510
|
Plan administrator’s name and address
Administrator’s EIN |
363331565 |
Plan administrator’s name |
ALLAN O. MUEHRCKE, M.D., S.C. |
Plan administrator’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510 |
Administrator’s telephone number |
7088484630 |
Signature of
Role |
Plan administrator |
Date |
2012-05-29 |
Name of individual signing |
ALLAN O. MUEHRCKE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLAN O. MUEHRCKE, M.D., S.C. EMPLOYEES RETIREMENT PLAN AND TRUST
|
2009
|
363331565
|
2011-06-06
|
ALLAN O. MUEHRCKE, M.D., S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7088484630
|
Plan sponsor’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510
|
Plan administrator’s name and address
Administrator’s EIN |
363331565 |
Plan administrator’s name |
ALLAN O. MUEHRCKE, M.D., S.C. |
Plan administrator’s
address |
1 ERIE COURT, SUITE 4010, OAK PARK, IL, 603022510 |
Administrator’s telephone number |
7088484630 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
ALLAN O. MUEHRCKE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|