SIMON WU, M.D., LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN
|
2023
|
364232080
|
2024-07-23
|
SIMON WU M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU M.D., LTD. CASH BALANCE PLAN
|
2023
|
364232080
|
2024-10-08
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU M.D., LTD. CASH BALANCE PLAN
|
2022
|
364232080
|
2023-07-26
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU, M.D., LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN
|
2022
|
364232080
|
2023-07-26
|
SIMON WU M.D., LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2023-07-26 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU, M.D., LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN
|
2021
|
364232080
|
2022-07-18
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU M.D., LTD. CASH BALANCE PLAN
|
2021
|
364232080
|
2022-07-18
|
SIMON WU M.D., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU M.D., LTD. CASH BALANCE PLAN
|
2020
|
364232080
|
2021-07-30
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU, M.D., LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN
|
2020
|
364232080
|
2021-07-29
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU, M.D., LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN
|
2019
|
364232080
|
2020-08-12
|
SIMON WU M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2020-08-12 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIMON WU M.D., LTD. CASH BALANCE PLAN
|
2019
|
364232080
|
2020-08-12
|
SIMON WU M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159331644
|
Plan sponsor’s
address |
400 N. WALL STREET SUITE 303, KANKAKEE, IL, 609012964
|
Signature of
Role |
Plan administrator |
Date |
2020-08-12 |
Name of individual signing |
SIMON WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|