HOMEWOOD PEDIATRIC ASSOCIATES 401(K) SAVINGS PLAN & TRUST
|
2018
|
364391897
|
2019-12-15
|
HOMEWOOD PEDIATRIC ASSOCIATES
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7087981665
|
Plan sponsor’s
address |
19150 KEDZIE AVENUE, FLOSSMOOR, IL, 60430
|
Plan administrator’s name and address
Administrator’s EIN |
364391897 |
Plan administrator’s name |
HOMEWOOD PEDIATRIC ASSOCIATES |
Plan administrator’s
address |
19150 KEDZIE AVENUE, FLOSSMOOR, IL, 60430 |
Administrator’s telephone number |
7087981665 |
Signature of
Role |
Plan administrator |
Date |
2019-12-15 |
Name of individual signing |
ZEBA SHAKIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOMEWOOD PEDIATRIC ASSOCIATES 401(K) SAVINGS PLAN & TRUST
|
2018
|
364391897
|
2019-06-11
|
HOMEWOOD PEDIATRIC ASSOCIATES
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7087981665
|
Plan sponsor’s
address |
19150 KEDZIE AVENUE, FLOSSMOOR, IL, 60430
|
Plan administrator’s name and address
Administrator’s EIN |
364391897 |
Plan administrator’s name |
HOMEWOOD PEDIATRIC ASSOCIATES |
Plan administrator’s
address |
19150 KEDZIE AVENUE, FLOSSMOOR, IL, 60430 |
Administrator’s telephone number |
7087981665 |
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
ZEBA SHAKIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|