R.A.I.M EMPLOYEES PROFIT SHARING PLAN
|
2012
|
362477684
|
2013-08-28
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2013-08-28 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.401(K) SAVINGS PLAN
|
2011
|
362477684
|
2012-07-21
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2012-07-21 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.A.I.M EMPLOYEES PROFIT SHARING PLAN
|
2011
|
362477684
|
2012-07-21
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2012-07-21 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.A.I.M EMPLOYEES PROFIT SHARING PLAN
|
2010
|
362477684
|
2011-07-27
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.401(K) SAVINGS PLAN
|
2010
|
362477684
|
2011-07-19
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.A.I.M EMPLOYEES PROFIT SHARING PLAN
|
2009
|
362477684
|
2010-05-18
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-18 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.401(K) SAVINGS PLAN
|
2009
|
362477684
|
2010-05-17
|
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8474333460
|
Plan sponsor’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035
|
Plan administrator’s name and address
Administrator’s EIN |
362477684 |
Plan administrator’s name |
RAVINIA ASSOCIATES IN INTERNAL MEDICINE, LTD. |
Plan administrator’s
address |
1777 GREEN BAY ROAD, SUITE 201, HIGHLAND PARK, IL, 60035 |
Administrator’s telephone number |
8474333460 |
Signature of
Role |
Plan administrator |
Date |
2010-05-17 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-17 |
Name of individual signing |
ROBERT BLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|