IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
320003051
|
2017-02-22
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153280378
|
Plan sponsor’s
address |
1715 TEWKSBERRY DR, SYCAMORE, IL, 601788790
|
Signature of
Role |
Plan administrator |
Date |
2017-02-22 |
Name of individual signing |
WILLIAM HUELS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
320003051
|
2016-09-13
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153280378
|
Plan sponsor’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2016-09-13 |
Name of individual signing |
WILLIAM HUELS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. DEFINED BENEFIT PENSION PLAN
|
2011
|
320000051
|
2012-12-17
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
541990
|
Sponsor’s telephone number |
8155996159
|
Plan sponsor’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178
|
Plan administrator’s name and address
Administrator’s EIN |
320000051 |
Plan administrator’s name |
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. |
Plan administrator’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178 |
Administrator’s telephone number |
8155996159 |
Signature of
Role |
Plan administrator |
Date |
2012-12-17 |
Name of individual signing |
JUAN IBARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-17 |
Name of individual signing |
JUAN IBARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. DEFINED BENEFIT PENSION PLAN
|
2010
|
320000051
|
2011-12-15
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
541990
|
Sponsor’s telephone number |
8155996159
|
Plan sponsor’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178
|
Plan administrator’s name and address
Administrator’s EIN |
320000051 |
Plan administrator’s name |
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. |
Plan administrator’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178 |
Administrator’s telephone number |
8155996159 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
JUAN IBARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. DEFINED BENEFIT PENSION PLAN
|
2009
|
320000051
|
2010-12-15
|
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
541990
|
Sponsor’s telephone number |
8155996159
|
Plan sponsor’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178
|
Plan administrator’s name and address
Administrator’s EIN |
320000051 |
Plan administrator’s name |
IBARRA INTERVENTIONAL PAIN MANAGEMENT, INC. |
Plan administrator’s
address |
1715 TEWKSBERRY DRIVE, SYCAMORE, IL, 60178 |
Administrator’s telephone number |
8155996159 |
Signature of
Role |
Plan administrator |
Date |
2010-12-15 |
Name of individual signing |
JUAN IBARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-15 |
Name of individual signing |
JUAN IBARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|