COLLETTI PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
363885814
|
2012-03-23
|
COLLETTI PHYSICAL THERAPY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8473956100
|
Plan sponsor’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363885814 |
Plan administrator’s name |
COLLETTI PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473956100 |
Signature of
Role |
Plan administrator |
Date |
2012-03-23 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-23 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLETTI PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
363885814
|
2011-10-12
|
COLLETTI PHYSICAL THERAPY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8473956100
|
Plan sponsor’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363885814 |
Plan administrator’s name |
COLLETTI PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473956100 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLETTI PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
363885814
|
2010-09-07
|
COLLETTI PHYSICAL THERAPY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8473956100
|
Plan sponsor’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002
|
Plan administrator’s name and address
Administrator’s EIN |
363885814 |
Plan administrator’s name |
COLLETTI PHYSICAL THERAPY, INC. |
Plan administrator’s
address |
543 ORCHARD STREET, ANTIOCH, IL, 60002 |
Administrator’s telephone number |
8473956100 |
Signature of
Role |
Plan administrator |
Date |
2010-09-07 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-07 |
Name of individual signing |
STEVEN COLLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|