GORDON H. DERMAN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
363423914
|
2013-07-26
|
GORDON H. DERMAN, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124329200
|
Plan sponsor’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORDON H. DERMAN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
363423914
|
2012-08-20
|
GORDON H. DERMAN, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124329200
|
Plan sponsor’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863
|
Plan administrator’s name and address
Administrator’s EIN |
363423914 |
Plan administrator’s name |
GORDON H. DERMAN, M.D., S.C. |
Plan administrator’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863 |
Administrator’s telephone number |
3124329200 |
Signature of
Role |
Plan administrator |
Date |
2012-08-20 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORDON H. DERMAN, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
363423914
|
2011-07-07
|
GORDON H. DERMAN, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124329200
|
Plan sponsor’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863
|
Plan administrator’s name and address
Administrator’s EIN |
363423914 |
Plan administrator’s name |
GORDON H. DERMAN, M.D., S.C. |
Plan administrator’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863 |
Administrator’s telephone number |
3124329200 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORDON H. DERMAN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
363423914
|
2011-07-07
|
GORDON H. DERMAN, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124329200
|
Plan sponsor’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863
|
Plan administrator’s name and address
Administrator’s EIN |
363423914 |
Plan administrator’s name |
GORDON H. DERMAN, M.D., S.C. |
Plan administrator’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863 |
Administrator’s telephone number |
3124329200 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORDON H. DERMAN, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
363423914
|
2010-07-30
|
GORDON H. DERMAN, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3124329200
|
Plan sponsor’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863
|
Plan administrator’s name and address
Administrator’s EIN |
363423914 |
Plan administrator’s name |
GORDON H. DERMAN, M.D., S.C. |
Plan administrator’s
address |
1725 WEST HARRISON, SUITE 740, CHICAGO, IL, 606123863 |
Administrator’s telephone number |
3124329200 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
GORDON DERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|