TAHIR NIAZI, M.D., S.C. DEFINED BENEFIT PLAN
|
2011
|
364289375
|
2012-10-11
|
TAHIR NIAZI, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
364289375
|
2012-10-11
|
TAHIR NIAZI, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. DEFINED BENEFIT PLAN
|
2010
|
364289375
|
2011-10-17
|
TAHIR NIAZI, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. DEFINED BENEFIT PLAN
|
2010
|
364289375
|
2011-10-17
|
TAHIR NIAZI, M.D., S.C.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
364289375
|
2011-10-14
|
TAHIR NIAZI, M.D., S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. DEFINED BENEFIT PLAN
|
2009
|
364289375
|
2010-10-14
|
TAHIR NIAZI, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAHIR NIAZI, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
364289375
|
2010-10-07
|
TAHIR NIAZI, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472375544
|
Plan sponsor’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639
|
Plan administrator’s name and address
Administrator’s EIN |
364289375 |
Plan administrator’s name |
TAHIR NIAZI, M.D., S.C. |
Plan administrator’s
address |
6020 WEST DIVERSEY AVENUE, CHICAGO, IL, 60639 |
Administrator’s telephone number |
8472375544 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
TAHIR NIAZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|