|
ELGIN SURGEONS LTD PROFIT SHARING PLAN
|
2010
|
364018164
|
2011-06-22
|
ELGIN SURGEONS LTD
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8477413677
|
| Plan sponsor’s
address |
351 SHARON DRIVE, BARRINGTON, IL, 60010
|
Plan administrator’s name and address
| Administrator’s EIN |
364018164 |
| Plan administrator’s name |
ELGIN SURGEONS LTD |
| Plan administrator’s
address |
351 SHARON DRIVE, BARRINGTON, IL, 60010 |
| Administrator’s telephone number |
8477413677 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-22 |
| Name of individual signing |
JOSEPH M. MICHELOTTI, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELGIN SURGEONS LTD PROFIT SHARING PLAN
|
2009
|
364018164
|
2010-07-20
|
ELGIN SURGEONS LTD
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8477413677
|
| Plan sponsor’s
address |
351 SHARON DRIVE, BARRINGTON, IL, 60010
|
Plan administrator’s name and address
| Administrator’s EIN |
364018164 |
| Plan administrator’s name |
ELGIN SURGEONS LTD |
| Plan administrator’s
address |
351 SHARON DRIVE, BARRINGTON, IL, 60010 |
| Administrator’s telephone number |
8477413677 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-20 |
| Name of individual signing |
JOSEPH M. MICHELOTTI, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
