| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084222665
|
| Plan sponsor’s
address |
4429 W. 95TH STREET, OAK LAWN, IL, 60453
|
Plan administrator’s name and address
| Administrator’s EIN |
364029001 |
| Plan administrator’s name |
JAMES C. LIANG, M.D., S.C. |
| Plan administrator’s
address |
4429 W. 95TH STREET, OAK LAWN, IL, 60453 |
| Administrator’s telephone number |
7084222665 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-23 |
| Name of individual signing |
JAMES LIANG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
