UNIVERSITY SURGEONS,S.C. 401-K PROFIT SHARING PLA
|
2012
|
363734367
|
2013-05-02
|
UNIVERSITY SURGEONS, S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3127382743
|
Plan sponsor’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 60612
|
Signature of
Role |
Plan administrator |
Date |
2013-05-02 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SURGEONS, S.C., PROFIT SHARING PLAN
|
2012
|
363734367
|
2013-05-02
|
UNIVERSITY SURGEONS, S.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3127382743
|
Plan sponsor’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 606123828
|
Signature of
Role |
Plan administrator |
Date |
2013-05-02 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SURGEONS,S.C. 401-K PROFIT SHARING PLA
|
2011
|
363734367
|
2012-07-27
|
UNIVERSITY SURGEONS, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3127382743
|
Plan sponsor’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 60612
|
Plan administrator’s name and address
Administrator’s EIN |
363734367 |
Plan administrator’s name |
UNIVERSITY SURGEONS, S.C. |
Plan administrator’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 60612 |
Administrator’s telephone number |
3127382743 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SURGEONS, S.C., PROFIT SHARING PLAN
|
2011
|
363734367
|
2012-07-27
|
UNIVERSITY SURGEONS, S.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3127382743
|
Plan sponsor’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 606123828
|
Plan administrator’s name and address
Administrator’s EIN |
363734367 |
Plan administrator’s name |
UNIVERSITY SURGEONS, S.C. |
Plan administrator’s
address |
1725 W. HARRISON ST., SUITE 810, CHICAGO, IL, 606123828 |
Administrator’s telephone number |
3127382743 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
DANIEL DEZIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|