NORTH SHORE FERTILITY 401(K) PLAN
|
2013
|
364335336
|
2014-07-24
|
NORTH SHORE FERTILITY, S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477638850
|
Plan sponsor’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
ANNE BORKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
ANNE BORKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE FERTILITY 401(K) PLAN
|
2012
|
364335336
|
2013-07-26
|
NORTH SHORE FERTILITY, S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477638850
|
Plan sponsor’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
ANNE BORKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
ANNE BORKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE FERTILITY 401(K) PLAN
|
2011
|
364335336
|
2012-09-25
|
NORTH SHORE FERTILITY, S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477638850
|
Plan sponsor’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008
|
Plan administrator’s name and address
Administrator’s EIN |
364335336 |
Plan administrator’s name |
NORTH SHORE FERTILITY, S.C. |
Plan administrator’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008 |
Administrator’s telephone number |
8477638850 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-25 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE FERTILITY 401(K) PLAN AND TRUST
|
2010
|
364335336
|
2011-08-31
|
NORTH SHORE FERTILITY, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477638850
|
Plan sponsor’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008
|
Plan administrator’s name and address
Administrator’s EIN |
364335336 |
Plan administrator’s name |
NORTH SHORE FERTILITY, S.C. |
Plan administrator’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008 |
Administrator’s telephone number |
8477638850 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-31 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE FERTILITY 401(K) PLAN
|
2009
|
364335336
|
2010-09-07
|
NORTH SHORE FERTILITY, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477638850
|
Plan sponsor’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008
|
Plan administrator’s name and address
Administrator’s EIN |
364335336 |
Plan administrator’s name |
NORTH SHORE FERTILITY, S.C. |
Plan administrator’s
address |
4250 DEMPSTER STREET, SKOKIE, IL, 600762008 |
Administrator’s telephone number |
8477638850 |
Signature of
Role |
Plan administrator |
Date |
2010-09-03 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-03 |
Name of individual signing |
SUSAN DAVIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|