ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
203828729
|
2022-09-28
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2022-09-28 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-28 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
203828729
|
2021-10-01
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2021-10-01 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-01 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
203828729
|
2020-08-28
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2020-08-28 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-28 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
203828729
|
2019-10-14
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
ERIN ARNOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
203828729
|
2017-07-25
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
203828729
|
2016-06-06
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2016-06-05 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-05 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
203828729
|
2015-04-04
|
ORTHOPAEDICS & RHEUMATOLOGY OF THE NORTH SHORE, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
4709 GOLF ROAD, 12TH FLOOR, SKOKIE, IL, 60076
|
Signature of
Role |
Plan administrator |
Date |
2015-04-03 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
203828729
|
2014-05-14
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
800 AUSTIN STREET, EAST TOWER, SUITE 357, EVANSTON, IL, 60202
|
Signature of
Role |
Plan administrator |
Date |
2014-05-13 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
203828729
|
2013-08-02
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
800 AUSTIN STREET, EAST TOWER, SUITE 357, EVANSTON, IL, 60202
|
Signature of
Role |
Plan administrator |
Date |
2013-08-02 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
203828729
|
2012-04-23
|
ORTHOPAEDICS OF THE NORTH SHORE, S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478697233
|
Plan sponsor’s
address |
800 AUSTIN STREET, EAST TOWER, SUITE 357, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
203828729 |
Plan administrator’s name |
ORTHOPAEDICS OF THE NORTH SHORE, S.C. |
Plan administrator’s
address |
800 AUSTIN STREET, EAST TOWER, SUITE 357, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8478697233 |
Signature of
Role |
Plan administrator |
Date |
2012-04-23 |
Name of individual signing |
STEVEN SCLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|