ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2020
|
363780199
|
2022-05-05
|
ELGIN FAMILY PHYSICIANS, S.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
87 N AIRLITE STREET, SUITE 130, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2022-05-04 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-04 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2020
|
363780199
|
2021-04-19
|
ELGIN FAMILY PHYSICIANS, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
87 N AIRLITE STREET, SUITE 130, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2021-04-19 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-19 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2019
|
363780199
|
2020-08-05
|
ELGIN FAMILY PHYSICIANS, S.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
87 N AIRLITE STREET, SUITE 130, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2020-08-05 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-05 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2018
|
363780199
|
2019-06-03
|
ELGIN FAMILY PHYSICIANS, S.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
87 N AIRLITE STREET, SUITE 130, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-03 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2017
|
363780199
|
2018-10-11
|
ELGIN FAMILY PHYSICIANS, S.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
87 N AIRLITE STREET, SUITE 130, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELGIN FAMILY PHYSICIANS, S.C. PROFIT SHARING PLAN
|
2009
|
363780199
|
2010-07-19
|
ELGIN FAMILY PHYSICIANS, S. C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478883661
|
Plan sponsor’s
address |
915 CENTER STREET, SUITE 3000, ELGIN, IL, 60120
|
Plan administrator’s name and address
Administrator’s EIN |
363780199 |
Plan administrator’s name |
ELGIN FAMILY PHYSICIANS, S. C. |
Plan administrator’s
address |
915 CENTER STREET, SUITE 3000, ELGIN, IL, 60120 |
Administrator’s telephone number |
8478883661 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
DR. DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
DR. DOROTHEA POULOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|