BAKAL DERMATOLOGY ASSOCIATES, S.C. DEFINED BENEFI PLAN
|
2011
|
364103503
|
2012-07-25
|
BAKAL DERMATOLOGY ASSOCIATES, S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478829300
|
Plan sponsor’s
address |
1786 MOON LAKE BOULEVARD, SUITE 100, HOFFMAN ESTATES, IL, 60169
|
Plan administrator’s name and address
Administrator’s EIN |
364103503 |
Plan administrator’s name |
BAKAL DERMATOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
1786 MOON LAKE BOULEVARD, SUITE 100, HOFFMAN ESTATES, IL, 60169 |
Administrator’s telephone number |
8478829300 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
JEFFREY S. BAKAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAKAL DERMATOLOGY ASSOCIATES, S.C. PROFIT SHARING PLAN
|
2011
|
364103503
|
2012-06-20
|
BAKAL DERMATOLOGY ASSOCIATES, S.C.
|
3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478829300
|
Plan sponsor’s
address |
1786 MOON LAKE BOULEVARD, SUITE 100, HOFFMAN ESTATES, IL, 60169
|
Plan administrator’s name and address
Administrator’s EIN |
364103503 |
Plan administrator’s name |
BAKAL DERMATOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
1786 MOON LAKE BOULEVARD, SUITE 100, HOFFMAN ESTATES, IL, 60169 |
Administrator’s telephone number |
8478829300 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
JEFFREY BAKAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-19 |
Name of individual signing |
JEFFREY BAKAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAKAL DERMATOLOGY ASSOCIATES, S. C. PROFIT SHARING PLAN
|
2010
|
364103503
|
2011-07-15
|
BAKAL DERMATOLOGY ASSOCIATES, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478829300
|
Plan sponsor’s
address |
1786 MOON LAKE BLVD., STE 100, HOFFMAN ESTATES, IL, 60169
|
Plan administrator’s name and address
Administrator’s EIN |
364103503 |
Plan administrator’s name |
BAKAL DERMATOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
1786 MOON LAKE BLVD., STE 100, HOFFMAN ESTATES, IL, 60169 |
Administrator’s telephone number |
8478829300 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
BARNETT BAKAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BA KAL DERMATOLOGY ASSOCIATES, S. C. PROFIT SHARING PLAN
|
2009
|
364103503
|
2010-07-13
|
BAKAL DERMATOLOGY ASSOCIATES, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478829300
|
Plan sponsor’s
address |
1786 MOON LAKE BLVD., STE 100, HOFFMAN ESTATES, IL, 60169
|
Plan administrator’s name and address
Administrator’s EIN |
364103503 |
Plan administrator’s name |
BAKAL DERMATOLOGY ASSOCIATES, S.C. |
Plan administrator’s
address |
1786 MOON LAKE BLVD., STE 100, HOFFMAN ESTATES, IL, 60169 |
Administrator’s telephone number |
8478829300 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
BARNETT BAKAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|