PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN
|
2012
|
364266633
|
2013-08-14
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473816786
|
Plan sponsor’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
|
Plan administrator’s name and address
Administrator’s EIN |
364266633 |
Plan administrator’s name |
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. |
Plan administrator’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010 |
Administrator’s telephone number |
8473816786 |
Signature of
Role |
Plan administrator |
Date |
2013-08-14 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN
|
2011
|
363531123
|
2012-10-15
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473816786
|
Plan sponsor’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
|
Plan administrator’s name and address
Administrator’s EIN |
363531123 |
Plan administrator’s name |
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. |
Plan administrator’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010 |
Administrator’s telephone number |
8473816786 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
363531123
|
2011-03-20
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473816786
|
Plan sponsor’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
|
Plan administrator’s name and address
Administrator’s EIN |
363531123 |
Plan administrator’s name |
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. |
Plan administrator’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010 |
Administrator’s telephone number |
8473816786 |
Signature of
Role |
Plan administrator |
Date |
2011-03-20 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-20 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
363531123
|
2010-10-05
|
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621399
|
Sponsor’s telephone number |
8473816786
|
Plan sponsor’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010
|
Plan administrator’s name and address
Administrator’s EIN |
363531123 |
Plan administrator’s name |
PEDIATRIC SPECIALISTS OF THE NORTHWEST, M.D.S.C. |
Plan administrator’s
address |
5057 SHORELINE ROAD, LAKE BARRINGTON, IL, 60010 |
Administrator’s telephone number |
8473816786 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
CHARLES BRAVERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|