DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2018
|
364311323
|
2019-09-27
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2019-09-27 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-27 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2017
|
364311323
|
2018-09-26
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2016
|
364311323
|
2017-10-09
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2017-10-06 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-06 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2015
|
364311323
|
2016-07-25
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2016-07-23 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-23 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2014
|
364311323
|
2015-08-31
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2015-08-29 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-29 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2013
|
364311323
|
2014-06-14
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2014-06-14 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
364311323
|
2013-08-06
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Signature of
Role |
Plan administrator |
Date |
2013-08-06 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-06 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
364311323
|
2012-08-22
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Plan administrator’s name and address
Administrator’s EIN |
364311323 |
Plan administrator’s name |
DEAN S. ECONOMOS, M.D., S.C. |
Plan administrator’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041 |
Administrator’s telephone number |
8479739640 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2010
|
364311323
|
2011-07-05
|
DEAN S. ECONOMOS, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Plan administrator’s name and address
Administrator’s EIN |
364311323 |
Plan administrator’s name |
DEAN S. ECONOMOS, M.D., S.C. |
Plan administrator’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041 |
Administrator’s telephone number |
8479739640 |
Signature of
Role |
Plan administrator |
Date |
2011-07-04 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEAN S. ECONOMOS, M.D., S.C. PROFIT SHARING PLAN
|
2009
|
364311323
|
2010-07-23
|
DEAN S. ECONOMOS, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479739640
|
Plan sponsor’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041
|
Plan administrator’s name and address
Administrator’s EIN |
364311323 |
Plan administrator’s name |
DEAN S. ECONOMOS, M.D., S.C. |
Plan administrator’s
address |
727 WEST GRAND AVE., INGLESIDE, IL, 60041 |
Administrator’s telephone number |
8479739640 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
DR. DEAN ECONOMOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|