JUREK & JUREK FAMILY PRACTICE, LTD. PROFIT SHARING PLAN
|
2011
|
364107751
|
2012-08-27
|
JUREK & JUREK FAMILY PRACTICE, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084251300
|
Plan sponsor’s
address |
5059 WEST 111ST, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364107751 |
Plan administrator’s name |
JUREK & JUREK FAMILY PRACTICE, LTD. |
Plan administrator’s
address |
5059 WEST 111ST, ALSIP, IL, 60803 |
Administrator’s telephone number |
7084251300 |
Signature of
Role |
Plan administrator |
Date |
2012-08-27 |
Name of individual signing |
PETER JUREK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-27 |
Name of individual signing |
PETER JUREK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUREK & JUREK FAMILY PRACTICE, LTD. PROFIT SHARING PLAN
|
2010
|
364107751
|
2011-04-04
|
JUREK & JUREK FAMILY PRACTICE, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084251300
|
Plan sponsor’s
address |
5059 WEST 111ST, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364107751 |
Plan administrator’s name |
JUREK & JUREK FAMILY PRACTICE, LTD. |
Plan administrator’s
address |
5059 WEST 111ST, ALSIP, IL, 60803 |
Administrator’s telephone number |
7084251300 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
PETER JUREK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-04 |
Name of individual signing |
PETER JUREK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUREK & JUREK FAMILY PRACTICE, LTD. PROFIT SHARING PLAN
|
2009
|
364107751
|
2010-09-17
|
JUREK & JUREK FAMILY PRACTICE, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084251300
|
Plan sponsor’s
address |
5059 WEST 111TH STREET, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364107751 |
Plan administrator’s name |
JUREK & JUREK FAMILY PRACTICE, LTD. |
Plan administrator’s
address |
5059 WEST 111TH STREET, ALSIP, IL, 60803 |
Administrator’s telephone number |
7084251300 |
Signature of
Role |
Plan administrator |
Date |
2010-09-17 |
Name of individual signing |
LOIS BROWNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|