SURESH V. SHINGLALA, M.D., LTD. PROFIT SHARING PLAN
|
2016
|
363185912
|
2017-09-11
|
SURESH V. SHINGALA, M.D., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737848500
|
Plan sponsor’s
address |
5015 N PAULINA ST, CHICAGO, IL, 606402756
|
Signature of
Role |
Plan administrator |
Date |
2017-09-10 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2015
|
363185912
|
2016-09-14
|
SURESH V. SHINGALA, M.D., LTD.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Plan sponsor’s
address |
5015 N PAULINA ST, CHICAGO, IL, 606402756
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2014
|
363185912
|
2015-08-09
|
SURESH V. SHINGALA, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737848500
|
Plan sponsor’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2015-08-08 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2013
|
363185912
|
2014-12-16
|
SURESH V. SHINGALA, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737848500
|
Plan sponsor’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2014-12-15 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2012
|
363185912
|
2013-09-10
|
SURESH V. SHINGALA, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Plan sponsor’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2011
|
363185912
|
2012-07-28
|
SURESH V. SHINGALA, M.D., LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Plan sponsor’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
363185912 |
Plan administrator’s name |
SURESH V. SHINGALA, M.D., LTD. |
Plan administrator’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURESH V. SHINGALA, M.D., LTD. PROFIT SHARING PLAN
|
2009
|
363185912
|
2010-11-12
|
SURESH V. SHINGALA, M.D., LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737848500
|
Plan sponsor’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
363185912 |
Plan administrator’s name |
SURESH V. SHINGALA, M.D., LTD |
Plan administrator’s
address |
5015 N. PAULINA, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7737848500 |
Signature of
Role |
Plan administrator |
Date |
2010-11-11 |
Name of individual signing |
SURESH SHINGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|