RETINA INSTITUTE OF ILLINOIS, P.C. CASH BALANCE PLAN
|
2023
|
364362710
|
2024-09-19
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
JOHN C. MICHAEL, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2023
|
364362710
|
2024-07-29
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2022
|
364362710
|
2023-10-06
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2023-10-06 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. CASH BALANCE PLAN
|
2022
|
364362710
|
2023-09-29
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
JOHN C. MICHAEL, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2021
|
364362710
|
2022-10-03
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2020
|
364362710
|
2021-08-26
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2021-08-26 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2019
|
364362710
|
2020-09-24
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2020-09-24 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-24 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2018
|
364362710
|
2019-09-30
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2019-09-30 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-30 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2017
|
364362710
|
2018-10-09
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETINA INSTITUTE OF ILLINOIS, P.C. PROFIT SHARING PLAN
|
2016
|
364362710
|
2017-09-25
|
RETINA INSTITUTE OF ILLINOIS, P.C.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472978900
|
Plan sponsor’s
address |
8780 WEST GOLF ROAD, SUITE 304, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2017-09-25 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-25 |
Name of individual signing |
JACKIE BENACKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|