NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2014
|
363789994
|
2015-12-29
|
NORTHWESTERN INTERNISTS, LTD.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2015-12-29 |
Name of individual signing |
DR. DAVID BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2014
|
363789994
|
2015-10-02
|
NORTHWESTERN INTERNISTS, LTD.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET, SUITE 415, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2015-10-02 |
Name of individual signing |
DR. DAVID BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2013
|
363789994
|
2014-08-18
|
NORTHWESTERN INTERNISTS, LTD.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET, SUITE 415, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2014-08-18 |
Name of individual signing |
DR. DAVID BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2012
|
363789994
|
2013-08-09
|
NORTHWESTERN INTERNISTS, LTD.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363789994 |
Plan administrator’s name |
NORTHWESTERN INTERNISTS, LTD. |
Plan administrator’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3123351133 |
Signature of
Role |
Plan administrator |
Date |
2013-08-09 |
Name of individual signing |
DR. DAVID BRANDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2011
|
363789994
|
2012-05-09
|
NORTHWESTERN INTERNISTS, LTD.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363789994 |
Plan administrator’s name |
NORTHWESTERN INTERNISTS, LTD. |
Plan administrator’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3123351133 |
Signature of
Role |
Plan administrator |
Date |
2012-05-09 |
Name of individual signing |
AMY KISSINGER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2010
|
363789994
|
2011-07-01
|
NORTHWESTERN INTERNISTS, LTD.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363789994 |
Plan administrator’s name |
NORTHWESTERN INTERNISTS, LTD. |
Plan administrator’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3123351133 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
AMY KISSINGER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-01 |
Name of individual signing |
AMY KISSINGER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWESTERN INTERNISTS, LTD. PROFIT SHARING PLAN & TRUST
|
2009
|
363789994
|
2010-09-16
|
NORTHWESTERN INTERNISTS, LTD.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123351133
|
Plan sponsor’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
363789994 |
Plan administrator’s name |
NORTHWESTERN INTERNISTS, LTD. |
Plan administrator’s
address |
676 NORTH SAINT CLAIR STREET,, SUITE 415, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3123351133 |
Signature of
Role |
Plan administrator |
Date |
2010-09-16 |
Name of individual signing |
AMY KISSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-16 |
Name of individual signing |
AMY KISSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|