ADDISON RADIOLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2011
|
363608497
|
2012-10-13
|
ADDISON RADIOLOGY ASSOCIATES, S.C.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6304952508
|
Plan sponsor’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363608497 |
Plan administrator’s name |
ADDISON RADIOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634 |
Administrator’s telephone number |
6304952508 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
MOHAMMAD REZAI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADDISON RADIOLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2010
|
363608497
|
2011-08-01
|
ADDISON RADIOLOGY ASSOCIATES, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6304952508
|
Plan sponsor’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363608497 |
Plan administrator’s name |
ADDISON RADIOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634 |
Administrator’s telephone number |
6304952508 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
KINEISHA NASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADDISON RADIOLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2009
|
363608497
|
2010-10-11
|
ADDISON RADIOLOGY ASSOCIATES, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6304952508
|
Plan sponsor’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363608497 |
Plan administrator’s name |
ADDISON RADIOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
C/O OUR LADY OF THE RESURRECTION, MEDICAL CTR - 5645 W. ADDISON ST, CHICAGO, IL, 60634 |
Administrator’s telephone number |
6304952508 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
MOHAMMAD REZAI MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
MOHAMMAD REZAI MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|