MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN AND TRUST
|
2016
|
364332222
|
2017-07-17
|
MED-PEDS ASSOCIATES, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
STONEWALL MCCUISTON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
STONEWALL MCCUISTON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2015
|
364332222
|
2016-09-08
|
MED-PEDS ASSOCIATES, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2016-09-08 |
Name of individual signing |
STONEWALL MCCUISTON, JR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
STONEWALL MCCUISTON, JR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2014
|
364332222
|
2015-10-15
|
MED-PEDS ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
STONEWALL MCCUISTON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
STONEWALL MCCUISTON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2013
|
364332222
|
2014-07-23
|
MED-PEDS ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
STONEWALL MCCUISTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
STONEWALL MCCUISTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2012
|
364332222
|
2013-05-08
|
MED-PEDS ASSOCIATES, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Signature of
Role |
Plan administrator |
Date |
2013-05-08 |
Name of individual signing |
STONEWALL MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-08 |
Name of individual signing |
STONEWALL MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2011
|
364332222
|
2012-07-19
|
MED-PEDS ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Plan administrator’s name and address
Administrator’s EIN |
364332222 |
Plan administrator’s name |
MED-PEDS ASSOCIATES, P.C. |
Plan administrator’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901 |
Administrator’s telephone number |
8159330194 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
STONEWALL MCCUISTON, JR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-18 |
Name of individual signing |
STONEWALL MCCUISTON, JR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2010
|
364332222
|
2011-06-17
|
MED-PEDS ASSOCIATES, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Plan administrator’s name and address
Administrator’s EIN |
364332222 |
Plan administrator’s name |
MED-PEDS ASSOCIATES, P.C. |
Plan administrator’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901 |
Administrator’s telephone number |
8159330194 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
STONEWALL MCCUISTON, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-16 |
Name of individual signing |
STONEWALL MCCUISTON, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MED-PEDS ASSOCIATES, P.C. PROFIT SHARING PLAN
|
2009
|
364332222
|
2010-10-04
|
MED-PEDS ASSOCIATES, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159330194
|
Plan sponsor’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901
|
Plan administrator’s name and address
Administrator’s EIN |
364332222 |
Plan administrator’s name |
MED-PEDS ASSOCIATES, P.C. |
Plan administrator’s
address |
375 N. WALL STREET - SUITE P520, KANKAKEE, IL, 60901 |
Administrator’s telephone number |
8159330194 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
STONEWALL MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
STONEWALL MCCUISTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|