NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2012
|
363946263
|
2013-06-28
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-04
|
Business code |
621111
|
Sponsor’s telephone number |
8475930404
|
Plan sponsor’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
363946263 |
Plan administrator’s name |
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8475930404 |
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
GEOFFREY ENGEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2011
|
363946263
|
2012-10-03
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-04
|
Business code |
621111
|
Sponsor’s telephone number |
8475930404
|
Plan sponsor’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
363946263 |
Plan administrator’s name |
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8475930404 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
GEOFFREY ENGEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2010
|
363946263
|
2011-08-31
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-04
|
Business code |
621111
|
Sponsor’s telephone number |
8475930404
|
Plan sponsor’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
363946263 |
Plan administrator’s name |
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8475930404 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
GEOFFREY ENGEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2009
|
363946263
|
2010-09-12
|
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-03-04
|
Business code |
621111
|
Sponsor’s telephone number |
8475930404
|
Plan sponsor’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
363946263 |
Plan administrator’s name |
NORTHWEST SUBURBAN UROLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
800 BIESTERFIELD RD STE 303, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8475930404 |
Signature of
Role |
Plan administrator |
Date |
2010-09-12 |
Name of individual signing |
GEOFFREY ENGEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|