NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2019
|
364147565
|
2020-10-08
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2019
|
364147565
|
2020-10-08
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2018
|
364147565
|
2019-08-06
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2017
|
364147565
|
2018-09-24
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2016
|
364147565
|
2017-10-09
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2015
|
364147565
|
2016-09-21
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
MARK H SCHWECHTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2015
|
364147565
|
2016-09-21
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
MARK H SCHWECHTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2014
|
364147565
|
2015-10-01
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
925 SHERWOOD DRIVE, LAKE BLUFF, IL, 60044
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
TINA VENETOS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE DERMATOLOGY, SC PROFIT SHARING PLAN
|
2013
|
364147565
|
2014-07-09
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
800 NORTH WESTMINSTER RD SUITE 100C, LAKE FOREST, IL, 60045
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
TINA VENETOS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE DERMATOLOGY, SC
|
2012
|
364147565
|
2013-10-03
|
NORTHSHORE DERMATOLOGY CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472341177
|
Plan sponsor’s
address |
800 NORTH WESTMINSTER RD SUITE 100C, LAKE FOREST, IL, 60045
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
TINA VENETOS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|