ONCOLOGY OF NORTHSHORE CLINIC INC. 401(K) PLAN
|
2021
|
364282819
|
2022-05-12
|
ONCOLOGY OF NORTHSHORE CLINIC INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
8478711800
|
Plan sponsor’s
address |
2000 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2022-05-12 |
Name of individual signing |
HOUSSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONCOLOGY OF NORTHSHORE CLINIC INC. 401(K) PLAN
|
2020
|
364282819
|
2021-04-13
|
ONCOLOGY OF NORTHSHORE CLINIC INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
8478711800
|
Plan sponsor’s
address |
2000 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
HOUSSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONCOLOGY OF NORTHSHORE CLINIC INC. 401(K) PLAN
|
2019
|
364282819
|
2020-04-16
|
ONCOLOGY OF NORTHSHORE CLINIC INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
8478711800
|
Plan sponsor’s
address |
2000 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2020-04-16 |
Name of individual signing |
HOUSSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONCOLOGY OF NORTHSHORE CLINIC INC. 401(K) PLAN
|
2018
|
364282819
|
2019-06-03
|
ONCOLOGY OF NORTHSHORE CLINIC INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
8478711800
|
Plan sponsor’s
address |
2000 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
HOUSSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2017
|
364282819
|
2018-07-18
|
BASSAM F. MATAR, M.D., S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
8478711800
|
Plan sponsor’s
address |
2000 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
HOUSSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2016
|
364282819
|
2017-09-19
|
BASSAM F. MATAR, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
7732710800
|
Plan sponsor’s
address |
5131 N. LINCOLN AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2017-09-19 |
Name of individual signing |
BASSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2015
|
364282819
|
2016-07-21
|
BASSAM F. MATAR, M.D., S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
7732710800
|
Plan sponsor’s
address |
5131 N. LINCOLN AVENUE, CHICAGO, IL, 60625
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2014
|
364282819
|
2015-06-26
|
BASSAM F. MATAR, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
7732710800
|
Plan sponsor’s
address |
5131 N. LINCOLN AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
GHASSAN MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2013
|
364282819
|
2014-09-09
|
BASSAM F. MATAR, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
7732710800
|
Plan sponsor’s
address |
5131 N. LINCOLN AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
GHASSAN MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-09 |
Name of individual signing |
BASSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASSAM F. MATAR, M.D., S.C. 401K PLAN
|
2013
|
364282879
|
2014-04-25
|
BASSAM F. MATAR, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-15
|
Business code |
621111
|
Sponsor’s telephone number |
7732710800
|
Plan sponsor’s
address |
5131 N. LINCOLN AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2014-04-25 |
Name of individual signing |
GHASSAN MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-25 |
Name of individual signing |
BASSAM MATAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|