AFRICK CHEZ 401(K) PROFIT SHARING PLAN
|
2010
|
364110449
|
2011-10-13
|
AFRICK CHEZ P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
541219
|
Sponsor’s telephone number |
8472369800
|
Plan sponsor’s
address |
770 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015
|
Plan administrator’s name and address
Administrator’s EIN |
364110449 |
Plan administrator’s name |
AFRICK CHEZ P.C. |
Plan administrator’s
address |
770 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015 |
Administrator’s telephone number |
8472369800 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
STEVEN JOEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
STEVEN JOEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AFRICK CHEZ 401(K) PROFIT SHARING PLAN
|
2009
|
364110449
|
2010-10-14
|
AFRICK CHEZ P.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
541219
|
Sponsor’s telephone number |
8472369800
|
Plan sponsor’s
address |
770 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015
|
Plan administrator’s name and address
Administrator’s EIN |
364110449 |
Plan administrator’s name |
AFRICK CHEZ P.C. |
Plan administrator’s
address |
770 LAKE COOK ROAD, SUITE 350, DEERFIELD, IL, 60015 |
Administrator’s telephone number |
8472369800 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
STEVEN JOEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
STEVEN JOEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|