VIVEK THAPPA, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
363899873
|
2011-09-17
|
VIVEK THAPPA, M.D.,S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153975004
|
Plan sponsor’s
address |
5047 PARLIAMENT PLACE, ROCKFORD, IL, 611075007
|
Plan administrator’s name and address
Administrator’s EIN |
363899873 |
Plan administrator’s name |
VIVEK THAPPA, M.D.,S.C. |
Plan administrator’s
address |
5047 PARLIAMENT PLACE, ROCKFORD, IL, 611075007 |
Administrator’s telephone number |
8153975004 |
Signature of
Role |
Plan administrator |
Date |
2011-09-17 |
Name of individual signing |
VIVEK THAPPA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-17 |
Name of individual signing |
VIVEK THAPPA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VIVEK THAPPA, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
363899873
|
2010-09-27
|
VIVEK THAPPA, M.D.,S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153975004
|
Plan sponsor’s
address |
5047 PARLIAMENT PLACE, ROCKFORD, IL, 611075007
|
Plan administrator’s name and address
Administrator’s EIN |
363899873 |
Plan administrator’s name |
VIVEK THAPPA, M.D.,S.C. |
Plan administrator’s
address |
5047 PARLIAMENT PLACE, ROCKFORD, IL, 611075007 |
Administrator’s telephone number |
8153975004 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
VIVEK THAPPA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
VIVEK THAPPA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|