ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST
|
2017
|
205498259
|
2018-07-17
|
ANGELIQUE COHEN, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
205498259
|
2018-07-17
|
ANGELIQUE COHEN, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
205498259
|
2018-07-19
|
ANGELIQUE COHEN, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2018-07-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST
|
2016
|
205498259
|
2017-06-20
|
ANGELIQUE COHEN, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
205498259
|
2017-06-20
|
ANGELIQUE COHEN, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
205498259
|
2016-10-13
|
ANGELIQUE COHEN, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST
|
2015
|
205498259
|
2016-10-12
|
ANGELIQUE COHEN, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
205498259
|
2015-09-14
|
ANGELIQUE COHEN, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2015-09-13 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-13 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST
|
2014
|
205498259
|
2015-09-14
|
ANGELIQUE COHEN, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2015-09-13 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-13 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANGELIQUE COHEN, M.D., S.C. CASH BALANCE PLAN & TRUST
|
2013
|
205498259
|
2014-07-14
|
ANGELIQUE COHEN, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475498200
|
Plan sponsor’s
address |
850 S. MILWAUKEE AVENUE, LIBERTYVILLE, IL, 60048
|
Signature of
Role |
Plan administrator |
Date |
2014-07-14 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-14 |
Name of individual signing |
ANGELIQUE COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|