BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2011
|
364278834
|
2012-03-22
|
BHUPENDRA R. PATEL M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474554701
|
Plan sponsor’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
|
Plan administrator’s name and address
Administrator’s EIN |
364278834 |
Plan administrator’s name |
BHUPENDRA R. PATEL M.D., S.C. |
Plan administrator’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131 |
Administrator’s telephone number |
8474554701 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-03-21 |
Name of individual signing |
BHUPENDRA PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364278834
|
2011-10-11
|
BHUPENDRA R. PATEL M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474554701
|
Plan sponsor’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
|
Plan administrator’s name and address
Administrator’s EIN |
364278834 |
Plan administrator’s name |
BHUPENDRA R. PATEL M.D., S.C. |
Plan administrator’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131 |
Administrator’s telephone number |
8474554701 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
BHUPENDRA PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BHUPENDRA R. PATEL M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364278834
|
2010-10-11
|
BHUPENDRA R. PATEL M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8474554701
|
Plan sponsor’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131
|
Plan administrator’s name and address
Administrator’s EIN |
364278834 |
Plan administrator’s name |
BHUPENDRA R. PATEL M.D., S.C. |
Plan administrator’s
address |
9663 FRANKLIN AVE, FRANKLIN PARK, IL, 60131 |
Administrator’s telephone number |
8474554701 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
BHUPENDRA PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|