EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. CAPITAL ACCUMULATION PLAN AND TRUST
|
2011
|
363843619
|
2012-05-24
|
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-12-15
|
Business code |
621111
|
Sponsor’s telephone number |
7735258700
|
Plan sponsor’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 606576156
|
Plan administrator’s name and address
Administrator’s EIN |
363843619 |
Plan administrator’s name |
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. |
Plan administrator’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 606576156 |
Administrator’s telephone number |
7735258700 |
Signature of
Role |
Plan administrator |
Date |
2012-05-24 |
Name of individual signing |
BARRY S. HERST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-24 |
Name of individual signing |
BARRY S. HERST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. CAPITAL ACCUMULATION PLAN AND TRUST
|
2010
|
363843619
|
2011-06-23
|
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-12-15
|
Business code |
621111
|
Sponsor’s telephone number |
7735258700
|
Plan sponsor’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 606576156
|
Plan administrator’s name and address
Administrator’s EIN |
363843619 |
Plan administrator’s name |
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. |
Plan administrator’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 606576156 |
Administrator’s telephone number |
7735258700 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
BARRY S. HERST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-23 |
Name of individual signing |
BARRY S. HERST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. CAPITAL ACCUMULATION PLAN AND TRUST
|
2009
|
363843619
|
2010-05-24
|
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-12-15
|
Business code |
621111
|
Sponsor’s telephone number |
7735258700
|
Plan sponsor’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 60657
|
Plan administrator’s name and address
Administrator’s EIN |
363843619 |
Plan administrator’s name |
EYE PHYSICIANS & SURGEONS OF CHICAGO, S.C. |
Plan administrator’s
address |
2800 NORTH SHERIDAN ROAD, SUITE #10, CHICAGO, IL, 60657 |
Administrator’s telephone number |
7735258700 |
Signature of
Role |
Plan administrator |
Date |
2010-05-24 |
Name of individual signing |
LOIS BROWNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|