Q'ZEEN ENTERPRISES, LTD.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NORTHERN ILLINOIS RETINA 401(K) PROFIT SHARING PLAN

2010

363734974

2011-08-24

NORTHERN ILLINOIS RETINA, LTD.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	525100
Sponsor’s telephone number	8152264990
Plan sponsor’s address	4855 EAST STATE STREET-SUITE 20, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN	363734974
Plan administrator’s name	NORTHERN ILLINOIS RETINA, LTD.
Plan administrator’s address	4855 EAST STATE STREET-SUITE 20, ROCKFORD, IL, 61108
Administrator’s telephone number	8152264990

Signature of

Role	Plan administrator
Date	2011-08-24
Name of individual signing	SUSAN FLOSI
Valid signature	Filed with authorized/valid electronic signature

NORTHERN ILLINOIS RETINA 401(K) PROFIT SHARING PLAN

2009

363734974

2010-10-05

NORTHERN ILLINOIS RETINA, LTD.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	525100
Sponsor’s telephone number	8152264990
Plan sponsor’s address	4855 EAST STATE STREET-SUITE 20, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN	363734974
Plan administrator’s name	NORTHERN ILLINOIS RETINA, LTD.
Plan administrator’s address	4855 EAST STATE STREET-SUITE 20, ROCKFORD, IL, 61108
Administrator’s telephone number	8152264990

Signature of

Role	Plan administrator
Date	2010-10-04
Name of individual signing	SUSAN FLOSI
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
STEVEN B WOLF, 205 W WACKER DR STE 1600, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO	Agent	1994-10-21

Name and Address	Role
ALGIS P ANKUS, 2 S 720 WILLIAMSBURG CT, HINSDALE, 60521	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	1000	100000	No data

Date of last update: 27 Jan 2025