NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2015
|
363972452
|
2016-07-27
|
NORTHWEST HEART SPECIALISTS, S.C.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-22
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2014
|
363972452
|
2015-10-01
|
NORTHWEST HEART SPECIALISTS, S.C.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-01 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2013
|
363972452
|
2014-09-24
|
NORTHWEST HEART SPECIALISTS, S.C.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-22
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-24 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2012
|
363972452
|
2013-10-15
|
NORTHWEST HEART SPECIALISTS, S.C.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-22
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST
|
2012
|
363972452
|
2013-10-15
|
NORTHWEST HEART SPECIALISTS, S.C.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST
|
2012
|
363972452
|
2013-10-15
|
NORTHWEST HEART SPECIALISTS, S.C.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST
|
2011
|
363972452
|
2012-10-05
|
NORTHWEST HEART SPECIALISTS, S.C.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
363972452 |
Plan administrator’s name |
NORTHWEST HEART SPECIALISTS, S.C. |
Plan administrator’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472538050 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2011
|
363972452
|
2012-10-05
|
NORTHWEST HEART SPECIALISTS, S.C.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-22
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
363972452 |
Plan administrator’s name |
NORTHWEST HEART SPECIALISTS, S.C. |
Plan administrator’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472538050 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. PROFIT SHARING PLAN & TRUST
|
2010
|
363972452
|
2011-10-10
|
NORTHWEST HEART SPECIALISTS, S.C.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-22
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
363972452 |
Plan administrator’s name |
NORTHWEST HEART SPECIALISTS, S.C. |
Plan administrator’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472538050 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEART SPECIALISTS, S.C. CASH BALANCE PENSION PLAN & TRUST
|
2010
|
363972452
|
2011-10-20
|
NORTHWEST HEART SPECIALISTS, S.C.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472538050
|
Plan sponsor’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
363972452 |
Plan administrator’s name |
NORTHWEST HEART SPECIALISTS, S.C. |
Plan administrator’s
address |
1632 W. CENTRAL ROAD, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472538050 |
Signature of
Role |
Plan administrator |
Date |
2011-10-20 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-20 |
Name of individual signing |
BURTON HERBSTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|