BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2017
|
364166076
|
2018-12-03
|
BLAKE HORIO, M.D., LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2018-12-03 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2017
|
364166076
|
2018-05-22
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2018-05-22 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2016
|
364166076
|
2017-05-12
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2017-05-12 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2015
|
364166076
|
2016-07-28
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2014
|
364166076
|
2015-09-14
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2013
|
364166076
|
2014-09-13
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2014-09-13 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-13 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2012
|
364166076
|
2013-09-20
|
BLAKE HORIO, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Signature of
Role |
Plan administrator |
Date |
2013-09-20 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-20 |
Name of individual signing |
BETH HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
364166076
|
2012-10-04
|
BLAKE HORIO, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6307342000
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Plan administrator’s name and address
Administrator’s EIN |
364166076 |
Plan administrator’s name |
BLAKE HORIO, M.D., LTD. |
Plan administrator’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521 |
Administrator’s telephone number |
6307342000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
364166076
|
2011-09-06
|
BLAKE HORIO, M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6303255583
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Plan administrator’s name and address
Administrator’s EIN |
364166076 |
Plan administrator’s name |
BLAKE HORIO, M.D., LTD. |
Plan administrator’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521 |
Administrator’s telephone number |
6303255583 |
Signature of
Role |
Plan administrator |
Date |
2011-09-06 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-06 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLAKE HORIO, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2009
|
364166076
|
2010-05-24
|
BLAKE HORIO, M.D., LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6303255583
|
Plan sponsor’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521
|
Plan administrator’s name and address
Administrator’s EIN |
364166076 |
Plan administrator’s name |
BLAKE HORIO, M.D., LTD. |
Plan administrator’s
address |
710 N. YORK ROAD, HINSDALE, IL, 60521 |
Administrator’s telephone number |
6303255583 |
Signature of
Role |
Plan administrator |
Date |
2010-05-24 |
Name of individual signing |
BLAKE HORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|