QUIMBY DERMATOLOGY LTD 401K PLAN
|
2009
|
364163163
|
2010-07-13
|
QUIMBY DERMATOLOGY LTD
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
3094510214
|
Plan sponsor’s
address |
1300 FRANKLIN AVE SUITE 230B, NORMAL, IL, 61761
|
Plan administrator’s name and address
Administrator’s EIN |
364163163 |
Plan administrator’s name |
QUIMBY DERMATOLOGY LTD |
Plan administrator’s
address |
1300 FRANKLIN AVE SUITE 230B, NORMAL, IL, 61761 |
Administrator’s telephone number |
3094510214 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
STEVEN R QUIMBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
STEVEN R QUIMBY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
QUIMBY DERMATOLOGY LTD 401K PLAN
|
2009
|
364163163
|
2011-09-08
|
QUIMBY DERMATOLOGY LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
3094510214
|
Plan sponsor’s
address |
1300 FRANKLIN AVE SUITE 230B, NORMAL, IL, 61761
|
Plan administrator’s name and address
Administrator’s EIN |
364163163 |
Plan administrator’s name |
QUIMBY DERMATOLOGY LTD |
Plan administrator’s
address |
1300 FRANKLIN AVE SUITE 230B, NORMAL, IL, 61761 |
Administrator’s telephone number |
3094510214 |
Signature of
Role |
Plan administrator |
Date |
2011-09-08 |
Name of individual signing |
STEVEN R QUIMBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-08 |
Name of individual signing |
STEVEN R QUIMBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|