WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY 401(K) PSP
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2023
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020720473
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2024-10-11
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY,S.C.
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26
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File |
View Page
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Three-digit plan number (PN) |
001
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Effective date of plan |
2004-11-01
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Business code |
621399
|
Sponsor’s telephone number |
6304438855
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Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
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Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
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2015
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020720473
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2017-01-19
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
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2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
|
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2014
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020720473
|
2016-02-16
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
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2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
|
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2013
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020720473
|
2015-05-07
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
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2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
Signature of
Role |
Plan administrator |
Date |
2015-05-07 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2012
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020720473
|
2014-02-18
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
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2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
Plan administrator’s name and address
Administrator’s EIN |
020720473 |
Plan administrator’s name |
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. |
Plan administrator’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174 |
Administrator’s telephone number |
6304438855 |
Signature of
Role |
Plan administrator |
Date |
2014-02-18 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
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2011
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020720473
|
2013-07-22
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
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2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
Plan administrator’s name and address
Administrator’s EIN |
020720473 |
Plan administrator’s name |
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. |
Plan administrator’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174 |
Administrator’s telephone number |
6304438855 |
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2010
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020720473
|
2012-02-22
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
Plan administrator’s name and address
Administrator’s EIN |
020720473 |
Plan administrator’s name |
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. |
Plan administrator’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174 |
Administrator’s telephone number |
6304438855 |
Signature of
Role |
Plan administrator |
Date |
2012-02-22 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2009
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020720473
|
2011-05-12
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WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
6304438855
|
Plan sponsor’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174
|
Plan administrator’s name and address
Administrator’s EIN |
020720473 |
Plan administrator’s name |
WEST SUBURBAN DERMATOLOGY AND COSMETIC SURGERY, S.C. |
Plan administrator’s
address |
2560 FOXFIELD ROAD, SUITE 100, ST. CHARLES, IL, 60174 |
Administrator’s telephone number |
6304438855 |
Signature of
Role |
Plan administrator |
Date |
2011-05-12 |
Name of individual signing |
RANY JAZAYERLI |
Valid signature |
Filed with authorized/valid electronic signature |
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