YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2016
|
364242434
|
2017-07-14
|
YURI E. GRISHKO, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
YURI E. GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2016
|
364242434
|
2017-12-21
|
YURI E. GRISHKO, LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2017-12-21 |
Name of individual signing |
YURI E. GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2015
|
364242434
|
2016-10-03
|
YURI E. GRISHKO, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
YURI E. GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2014
|
364242434
|
2015-09-22
|
YURI E. GRISHKO, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2015-09-21 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-21 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2013
|
364242434
|
2014-10-09
|
YURI E. GRISHKO, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2012
|
364242434
|
2013-10-13
|
YURI E. GRISHKO, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Signature of
Role |
Plan administrator |
Date |
2013-10-13 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-13 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2011
|
364242434
|
2012-07-27
|
YURI E. GRISHKO, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
364242434 |
Plan administrator’s name |
YURI E. GRISHKO, LTD. |
Plan administrator’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090 |
Administrator’s telephone number |
8474659577 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2010
|
364242434
|
2011-07-05
|
YURI E. GRISHKO, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
364242434 |
Plan administrator’s name |
YURI E. GRISHKO, LTD. |
Plan administrator’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090 |
Administrator’s telephone number |
8474659577 |
Signature of
Role |
Plan administrator |
Date |
2011-07-03 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-03 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, LTD. PROFIT SHARING & 401(K) PLAN
|
2010
|
364242434
|
2011-07-05
|
YURI E. GRISHKO, LTD.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
364242434 |
Plan administrator’s name |
YURI E. GRISHKO, LTD. |
Plan administrator’s
address |
500 EAST JEFFREY AVE., WHEELING, IL, 60090 |
Administrator’s telephone number |
8474659577 |
Signature of
Role |
Plan administrator |
Date |
2011-07-03 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-03 |
Name of individual signing |
YURI GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YURI E. GRISHKO, D.D.S., LTD. PROFIT SHARING & 401(K) PLAN
|
2009
|
364242434
|
2010-07-28
|
YURI E. GRISHKO DDS, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474659577
|
Plan sponsor’s
address |
500 EAST JEFFREY AVENUE, WHEELING, IL, 600905030
|
Plan administrator’s name and address
Administrator’s EIN |
364242434 |
Plan administrator’s name |
YURI E. GRISHKO DDS, LTD. |
Plan administrator’s
address |
500 EAST JEFFREY AVENUE, WHEELING, IL, 600905030 |
Administrator’s telephone number |
8474659577 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
YURI E. GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
YURI E. GRISHKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|