PROFIT SHARING PLAN
|
2021
|
363815239
|
2022-07-15
|
ARTHUR N SKLADMAN M.D, S.C
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8476506071
|
Plan
sponsor’s DBA name |
MEDICAL DOCTOR
|
Plan sponsor’s
address |
415 W GOLF RD STE 2, ARLINGTON HTS, IL, 600053923
|
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2020
|
363815239
|
2021-07-29
|
ARTHUR N SKLADMAN, M.D, S.C
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 W GOLF RD STE 2, ARLINGTON HTS, IL, 600053923
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2019
|
363815239
|
2020-08-20
|
ARTHUR N SKLADMAN, M.D, S.C
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan sponsor’s
address |
415 W GOLF RD STE 2, ARLINGTON HTS, IL, 600053923
|
Signature of
Role |
Plan administrator |
Date |
2020-08-20 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-20 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2017
|
363815239
|
2018-06-18
|
ARTHUR N SKLADMAN, M.D,S.C
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 W GOLF RD STE 2, ARLINGTON HTS, IL, 600053923
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2016
|
363815239
|
2017-07-05
|
ARTHUR N SKLADMAN, M.D., S.C
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 W GOLF RD STE 2, ARLINGTON HTS, IL, 600053923
|
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2014
|
363815239
|
2015-05-19
|
ARTHUR N SKLADMAN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 WEST GOLF ROAD, STE 2, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2015-05-19 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2013
|
363815239
|
2014-12-05
|
ARTHUR N SKLADMAN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 WEST GOLF ROAD, STE 2, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2014-12-05 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-05 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PROFIT SHARING PLAN
|
2012
|
363815239
|
2014-12-05
|
ARTHUR N SKLADMAN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472280855
|
Plan
sponsor’s DBA name |
PRACTICE MEDICINE
|
Plan sponsor’s
address |
415 WEST GOLF ROAD, STE 2, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2014-12-05 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-05 |
Name of individual signing |
ARTHUR SKLADMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|