STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2016
|
364316771
|
2017-09-18
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
810 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2015
|
364316771
|
2016-10-14
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2014
|
364316771
|
2015-09-02
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Signature of
Role |
Plan administrator |
Date |
2015-09-02 |
Name of individual signing |
STEPHEN A. MADRY, MD, OWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2013
|
364316771
|
2014-10-15
|
STEPHEN A. MADRY, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
STEPHEN A. MADRY, MD, OWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2012
|
364316771
|
2013-10-08
|
STEPHEN A. MADRY, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
STEPHEN A. MADRY, MD, OWNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2011
|
364316771
|
2012-10-03
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
364316771 |
Plan administrator’s name |
STEPHEN A. MADRY, M.D., S.C. |
Plan administrator’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8473829902 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
STEPHEN A. MADRY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2010
|
364316771
|
2011-10-13
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
364316771 |
Plan administrator’s name |
STEPHEN A. MADRY, M.D., S.C. |
Plan administrator’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8473829902 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
STEPHEN A. MADRY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHEN A. MADRY, M.D., S.C. DEFINED BENEFIT PLAN
|
2009
|
364316771
|
2010-10-07
|
STEPHEN A. MADRY, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473829902
|
Plan sponsor’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312
|
Plan administrator’s name and address
Administrator’s EIN |
364316771 |
Plan administrator’s name |
STEPHEN A. MADRY, M.D., S.C. |
Plan administrator’s
address |
801 BIESTERFIELD RD STE 308, ELK GROVE VILLAGE, IL, 600077312 |
Administrator’s telephone number |
8473829902 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
STEPHEN A. MADRY, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|