TRI-CITY RADIOLOGY, S.C. PROFIT SHARING PLAN
|
2011
|
363503314
|
2013-06-10
|
TRI-CITY RADIOLOGY, S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. RETIREMENT PLAN AND TRUST
|
2011
|
363503314
|
2013-04-16
|
TRI-CITY RADIOLOGY, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 601342078
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 601342078 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2013-04-16 |
Name of individual signing |
JOSEPH PERSAK,M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. PROFIT SHARING PLAN
|
2011
|
363503314
|
2012-06-25
|
TRI-CITY RADIOLOGY, S.C.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-25 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. RETIREMENT PLAN AND TRUST
|
2010
|
363503314
|
2012-09-07
|
TRI-CITY RADIOLOGY, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 601342078
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 601342078 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
JOSEPH PERSAK,M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. PROFIT SHARING PLAN
|
2010
|
363503314
|
2011-10-01
|
TRI-CITY RADIOLOGY, S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-01 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-01 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. RETIREMENT PLAN AND TRUST
|
2009
|
363503314
|
2011-08-02
|
TRI-CITY RADIOLOGY, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE ST., STE. 103E, GENEVA, IL, 601342078
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE ST., STE. 103E, GENEVA, IL, 601342078 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
JOSEPH PERSAK, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY RADIOLOGY, S.C. PROFIT SHARING PLAN
|
2009
|
363503314
|
2010-08-26
|
TRI-CITY RADIOLOGY, S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6302083000
|
Plan sponsor’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
363503314 |
Plan administrator’s name |
TRI-CITY RADIOLOGY, S.C. |
Plan administrator’s
address |
825 W. STATE STREET, SUITE 103 E, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302083000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
JOSEPH PERSAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|