KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2018
|
364286301
|
2019-10-15
|
BURKE MEDICAL GROUP, LTD.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
415 N CASS AVE, WESTMONT, IL, 605591525
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2017
|
364286301
|
2018-07-31
|
BURKE MEDICAL GROUP, LTD.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
415 N CASS AVE, WESTMONT, IL, 605591525
|
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-31 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2016
|
364286301
|
2017-07-30
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
415 N CASS AVE, WESTMONT, IL, 605591525
|
Signature of
Role |
Plan administrator |
Date |
2017-07-30 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-30 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2015
|
364286301
|
2016-07-29
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
415 N CASS AVE, WESTMONT, IL, 605591525
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2014
|
364286301
|
2015-10-15
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2013
|
364286301
|
2014-10-15
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2012
|
364286301
|
2013-10-14
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
KATHRYN BURKE DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2011
|
364286301
|
2012-05-23
|
BURKE MEDICAL GROUP, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Plan administrator’s name and address
Administrator’s EIN |
364286301 |
Plan administrator’s name |
BURKE MEDICAL GROUP, LTD. |
Plan administrator’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461 |
Administrator’s telephone number |
7087487500 |
Signature of
Role |
Plan administrator |
Date |
2012-05-23 |
Name of individual signing |
KATHRYN BURKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2010
|
364286301
|
2011-02-04
|
BURKE MEDICAL GROUP, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Plan administrator’s name and address
Administrator’s EIN |
364286301 |
Plan administrator’s name |
BURKE MEDICAL GROUP, LTD. |
Plan administrator’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461 |
Administrator’s telephone number |
7087487500 |
Signature of
Role |
Plan administrator |
Date |
2011-02-04 |
Name of individual signing |
KATHRYN BURKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KATHRYN R. BURKE, D.O. PROFIT SHARING PLAN
|
2009
|
364286301
|
2010-08-24
|
BURKE MEDICAL GROUP, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087487500
|
Plan sponsor’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461
|
Plan administrator’s name and address
Administrator’s EIN |
364286301 |
Plan administrator’s name |
BURKE MEDICAL GROUP, LTD. |
Plan administrator’s
address |
3700 W. EDMUND BURKE DRIVE, OLYMPIA FIELDS, IL, 60461 |
Administrator’s telephone number |
7087487500 |
Signature of
Role |
Plan administrator |
Date |
2010-08-24 |
Name of individual signing |
KATHRYN BURKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|