PEDIATRIC EYE ASSOCIATES, P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
364075560
|
2013-07-12
|
PEDIATRIC EYE ASSOCIATES, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472562020
|
Plan sponsor’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE ASSOCIATES, P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
364075560
|
2012-04-09
|
PEDIATRIC EYE ASSOCIATES, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472562020
|
Plan sponsor’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091
|
Plan administrator’s name and address
Administrator’s EIN |
364075560 |
Plan administrator’s name |
PEDIATRIC EYE ASSOCIATES, P.C. |
Plan administrator’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091 |
Administrator’s telephone number |
8472562020 |
Signature of
Role |
Plan administrator |
Date |
2012-04-05 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-05 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE ASSOCIATES, P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
364075560
|
2011-02-18
|
PEDIATRIC EYE ASSOCIATES, P.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472562020
|
Plan sponsor’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091
|
Plan administrator’s name and address
Administrator’s EIN |
364075560 |
Plan administrator’s name |
PEDIATRIC EYE ASSOCIATES, P.C. |
Plan administrator’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091 |
Administrator’s telephone number |
8472562020 |
Signature of
Role |
Plan administrator |
Date |
2011-02-17 |
Name of individual signing |
DEBORAH R. FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-17 |
Name of individual signing |
DEBORAH R. FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE ASSOCIATES, P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
364075560
|
2011-02-23
|
PEDIATRIC EYE ASSOCIATES, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472562020
|
Plan sponsor’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091
|
Plan administrator’s name and address
Administrator’s EIN |
364075560 |
Plan administrator’s name |
PEDIATRIC EYE ASSOCIATES, P.C. |
Plan administrator’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091 |
Administrator’s telephone number |
8472562020 |
Signature of
Role |
Plan administrator |
Date |
2011-02-18 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-18 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE ASSOCIATES, P.C. PROFIT SHARING PLAN TRUST
|
2009
|
364075560
|
2010-06-22
|
PEDIATRIC EYE ASSOCIATES, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472562020
|
Plan sponsor’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091
|
Plan administrator’s name and address
Administrator’s EIN |
364075560 |
Plan administrator’s name |
PEDIATRIC EYE ASSOCIATES, P.C. |
Plan administrator’s
address |
3612 LAKE AVE., SUITE 3, WILMETTE, IL, 60091 |
Administrator’s telephone number |
8472562020 |
Signature of
Role |
Plan administrator |
Date |
2010-06-19 |
Name of individual signing |
DEBORAH FISHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|