GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2017
|
363952061
|
2018-05-02
|
GLORIA CARUSO, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309304886
|
Plan sponsor’s
address |
32 FOUNDERS POINTE N, BLOOMINGDALE, IL, 601081458
|
Signature of
Role |
Plan administrator |
Date |
2018-05-02 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2016
|
363952061
|
2017-09-05
|
GLORIA CARUSO, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309304886
|
Plan sponsor’s
address |
32 FOUNDERS POINTE N, BLOOMINGDALE, IL, 601081458
|
Signature of
Role |
Plan administrator |
Date |
2017-09-05 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2015
|
363952061
|
2016-08-03
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W ARMY TRAIL RD STE 105, BLOOMINGDALE, IL, 601082674
|
Signature of
Role |
Plan administrator |
Date |
2016-08-03 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2014
|
363952061
|
2015-10-06
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Signature of
Role |
Plan administrator |
Date |
2015-10-06 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SARING PLAN & TRUST
|
2013
|
363952061
|
2014-09-10
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
363952061 |
Plan administrator’s name |
GLORIA CARUSO, M.D., P.C. |
Plan administrator’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6308941599 |
Signature of
Role |
Plan administrator |
Date |
2014-09-10 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
363952061
|
2013-09-12
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
363952061
|
2012-06-25
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
363952061 |
Plan administrator’s name |
GLORIA CARUSO, M.D., P.C. |
Plan administrator’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6308941599 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
363952061
|
2011-02-28
|
GLORIA CARUSO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
363952061 |
Plan administrator’s name |
GLORIA CARUSO, M.D., P.C. |
Plan administrator’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6308941599 |
Signature of
Role |
Plan administrator |
Date |
2011-02-27 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLORIA CARUSO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2009
|
363952061
|
2010-10-13
|
GLORIA CARUSO, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308941599
|
Plan sponsor’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
363952061 |
Plan administrator’s name |
GLORIA CARUSO, M.D., P.C. |
Plan administrator’s
address |
473 W. ARMY TRAIL ROAD - SUITE 105, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6308941599 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
GLORIA CARUSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|