ARLINGTON PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
364213947
|
2012-06-18
|
ARLINGTON PEDIATRICS, LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473980400
|
Plan sponsor’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
364213947 |
Plan administrator’s name |
ARLINGTON PEDIATRICS, LTD. |
Plan administrator’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473980400 |
Signature of
Role |
Plan administrator |
Date |
2012-06-18 |
Name of individual signing |
DAVID BROTTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
364213947
|
2011-05-04
|
ARLINGTON PEDIATRICS, LTD.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473980400
|
Plan sponsor’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
364213947 |
Plan administrator’s name |
ARLINGTON PEDIATRICS, LTD. |
Plan administrator’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473980400 |
Signature of
Role |
Plan administrator |
Date |
2011-05-04 |
Name of individual signing |
DAVID BROTTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
364213947
|
2011-10-07
|
ARLINGTON PEDIATRICS, LTD.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473980400
|
Plan sponsor’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
364213947 |
Plan administrator’s name |
ARLINGTON PEDIATRICS, LTD. |
Plan administrator’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473980400 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
DAVID BROTTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON PEDIATRICS, LTD. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
364213947
|
2010-05-23
|
ARLINGTON PEDIATRICS, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473980400
|
Plan sponsor’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
364213947 |
Plan administrator’s name |
ARLINGTON PEDIATRICS, LTD. |
Plan administrator’s
address |
3325 N. ARLINGTON HTS RD STE 100A, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473980400 |
Signature of
Role |
Plan administrator |
Date |
2010-05-23 |
Name of individual signing |
DAVID BROTTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-23 |
Name of individual signing |
DAVID BROTTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|