MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST
|
2012
|
364302965
|
2013-08-13
|
MANSOOR KHAN, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8479527181
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
|
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-13 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST
|
2011
|
364302965
|
2012-07-23
|
MANSOOR KHAN, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475718810
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
364302965 |
Plan administrator’s name |
MANSOOR KHAN, M.D., S.C. |
Plan administrator’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8475718810 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-23 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST
|
2010
|
364302965
|
2011-07-13
|
MANSOOR KHAN, M.D., S.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475718810
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
364302965 |
Plan administrator’s name |
MANSOOR KHAN, M.D., S.C. |
Plan administrator’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8475718810 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST
|
2010
|
364302965
|
2011-10-18
|
MANSOOR KHAN, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475718810
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
364302965 |
Plan administrator’s name |
MANSOOR KHAN, M.D., S.C. |
Plan administrator’s
address |
800 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8475718810 |
Signature of
Role |
Plan administrator |
Date |
2011-10-18 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-18 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSOOR KHAN, M.D., S.C. PROFIT SHARING PLAN & TRUST
|
2009
|
364302965
|
2010-09-17
|
MANSOOR KHAN, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475718810
|
Plan sponsor’s
address |
810 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
364302965 |
Plan administrator’s name |
MANSOOR KHAN, M.D., S.C. |
Plan administrator’s
address |
810 BIESTERFIELD ROAD, SUITE 407, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8475718810 |
Signature of
Role |
Plan administrator |
Date |
2010-09-17 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-17 |
Name of individual signing |
MANSOOR KHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|