ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST
|
2012
|
363914202
|
2013-08-05
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083669300
|
Plan sponsor’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
|
Signature of
Role |
Plan administrator |
Date |
2013-08-05 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-05 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST
|
2011
|
363914202
|
2012-09-10
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083669300
|
Plan sponsor’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
|
Plan administrator’s name and address
Administrator’s EIN |
363914202 |
Plan administrator’s name |
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. |
Plan administrator’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893 |
Administrator’s telephone number |
7083669300 |
Signature of
Role |
Plan administrator |
Date |
2012-09-10 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-10 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST
|
2010
|
363914202
|
2011-07-06
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083669300
|
Plan sponsor’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
|
Plan administrator’s name and address
Administrator’s EIN |
363914202 |
Plan administrator’s name |
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. |
Plan administrator’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893 |
Administrator’s telephone number |
7083669300 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. PROFIT SHARING PLAN & TRUST
|
2009
|
363914202
|
2010-07-06
|
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7083669300
|
Plan sponsor’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893
|
Plan administrator’s name and address
Administrator’s EIN |
363914202 |
Plan administrator’s name |
ASTHMA AND ALLERGY CENTER OF CHICAGO, S.C. |
Plan administrator’s
address |
7420 CENTRAL AVENUE SUITE 2020, RIVER FOREST, IL, 603051893 |
Administrator’s telephone number |
7083669300 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
EDWARD LISBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|