RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2015
|
320001351
|
2016-04-08
|
RICHARD M. MRUZ, M.D., S.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2015
|
320001351
|
2016-11-15
|
RICHARD M. MRUZ, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DRIVE, INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2015
|
320001351
|
2016-04-08
|
RICHARD M. MRUZ, M.D., S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2014
|
320001351
|
2015-07-08
|
RICHARD M. MRUZ, M.D., S.C.
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2014
|
320001351
|
2016-04-08
|
RICHARD M. MRUZ, M.D., S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DRIVE, INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2013
|
320001351
|
2015-04-14
|
RICHARD M. MRUZ, M.D., S.C.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
Signature of
Role |
Plan administrator |
Date |
2015-04-13 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-13 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2013
|
320001351
|
2016-04-08
|
RICHARD M. MRUZ, M.D., S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
320001351
|
2014-03-27
|
RICHARD M. MRUZ, M.D., S.C.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
Signature of
Role |
Plan administrator |
Date |
2014-03-25 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-25 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
320001351
|
2016-04-08
|
RICHARD M. MRUZ, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
Signature of
Role |
Plan administrator |
Date |
2016-04-08 |
Name of individual signing |
RICHARD M MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-08 |
Name of individual signing |
RICHARD M MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD M. MRUZ, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
320001351
|
2014-04-28
|
RICHARD M. MRUZ, M.D., S.C.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473640040
|
Plan sponsor’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067
|
Plan administrator’s name and address
Administrator’s EIN |
320001351 |
Plan administrator’s name |
RICHARD M. MRUZ, M.D., S.C. |
Plan administrator’s
address |
1859 PRESTWICK DR., INVERNESS, IL, 60067 |
Administrator’s telephone number |
8473640040 |
Signature of
Role |
Plan administrator |
Date |
2014-04-23 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-23 |
Name of individual signing |
RICHARD MRUZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|