FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2012
|
363676808
|
2013-09-09
|
FAMILY PRACTICE SPECIALIST, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472779707
|
Plan sponsor’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
|
Plan administrator’s name and address
Administrator’s EIN |
363676808 |
Plan administrator’s name |
FAMILY PRACTICE SPECIALIST, S.C. |
Plan administrator’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540 |
Administrator’s telephone number |
8472779707 |
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
RICHARD J. FEROLO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2011
|
363676808
|
2012-08-16
|
FAMILY PRACTICE SPECIALIST, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472779707
|
Plan sponsor’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
|
Plan administrator’s name and address
Administrator’s EIN |
363676808 |
Plan administrator’s name |
FAMILY PRACTICE SPECIALIST, S.C. |
Plan administrator’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540 |
Administrator’s telephone number |
8472779707 |
Signature of
Role |
Plan administrator |
Date |
2012-08-16 |
Name of individual signing |
RICHARD J. FEROLO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2010
|
363676808
|
2011-08-22
|
FAMILY PRACTICE SPECIALIST, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472779707
|
Plan sponsor’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
|
Plan administrator’s name and address
Administrator’s EIN |
363676808 |
Plan administrator’s name |
FAMILY PRACTICE SPECIALIST, S.C. |
Plan administrator’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540 |
Administrator’s telephone number |
8472779707 |
Signature of
Role |
Plan administrator |
Date |
2011-08-22 |
Name of individual signing |
RICHARD J. FEROLO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY PRACTICE SPECIALIST, S.C. PROFIT SHARING & SAVINGS PLAN & TRUST
|
2009
|
363676808
|
2010-09-13
|
FAMILY PRACTICE SPECIALIST, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472779707
|
Plan sponsor’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540
|
Plan administrator’s name and address
Administrator’s EIN |
363676808 |
Plan administrator’s name |
FAMILY PRACTICE SPECIALIST, S.C. |
Plan administrator’s
address |
22285 PEPPER ROAD SUITE 211, LAKE BARRINGTON, IL, 600102540 |
Administrator’s telephone number |
8472779707 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
RICHARD J. FEROLO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|