MIDWEST PRIMARY CARE S.C. 401(K) PROFIT SHARING PLAN
|
2012
|
353949949
|
2013-10-09
|
MIDWEST PRIMARY CARE S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084259399
|
Plan sponsor’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
MICHAEL THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
MICHAEL THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST PRIMARY CARE, S.C. 401K PROFIT SHARING PLAN
|
2011
|
363949949
|
2012-10-16
|
MIDWEST PRIMARY CARE, S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084259399
|
Plan sponsor’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735
|
Plan administrator’s name and address
Administrator’s EIN |
363949949 |
Plan administrator’s name |
MIDWEST PRIMARY CARE, S.C. |
Plan administrator’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735 |
Administrator’s telephone number |
7084259399 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
ERIN PATTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST PRIMARY CARE, S.C. 401K PROFIT SHARING PLAN
|
2010
|
363949949
|
2011-09-16
|
MIDWEST PRIMARY CARE, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084259399
|
Plan sponsor’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735
|
Plan administrator’s name and address
Administrator’s EIN |
363949949 |
Plan administrator’s name |
MIDWEST PRIMARY CARE, S.C. |
Plan administrator’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735 |
Administrator’s telephone number |
7084259399 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
MICHAEL THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST PRIMARY CARE, S.C. 401K PROFIT SHARING PLAN
|
2009
|
363949949
|
2010-07-28
|
MIDWEST PRIMARY CARE, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084259399
|
Plan sponsor’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735
|
Plan administrator’s name and address
Administrator’s EIN |
363949949 |
Plan administrator’s name |
MIDWEST PRIMARY CARE, S.C. |
Plan administrator’s
address |
2850 WEST 95TH STREET, SUITE 106, EVERGREEN PARK, IL, 608052735 |
Administrator’s telephone number |
7084259399 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
MICHAEL THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
MICHAEL THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|