RANDY S. MORRIS M.D.,S.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
364321520
|
2013-10-04
|
RANDY S. MORRIS M.D., S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6303576540
|
Plan sponsor’s
address |
3 N. WASHINGTON STREET, 2ND FLOOR, NAPERVILLE, IL, 60540
|
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
DR. RANDY S. MORRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDY S. MORRIS M.D.,S.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
364321520
|
2012-10-16
|
RANDY S. MORRIS M.D., S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6303576540
|
Plan sponsor’s
address |
636 RAYMOND DRIVE, SUITE 303, NAPERVILLE, IL, 605639792
|
Plan administrator’s name and address
Administrator’s EIN |
364321520 |
Plan administrator’s name |
RANDY S. MORRIS M.D., S.C. |
Plan administrator’s
address |
636 RAYMOND DRIVE, SUITE 303, NAPERVILLE, IL, 605639792 |
Administrator’s telephone number |
6303576540 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
RANDY S. MORRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDY S. MORRIS M.D.,S.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
364321520
|
2011-10-05
|
RANDY S. MORRIS M.D., S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6303576540
|
Plan sponsor’s
address |
636 RAYMOND DRIVE, SUITE 303, NAPERVILLE, IL, 605639792
|
Plan administrator’s name and address
Administrator’s EIN |
364321520 |
Plan administrator’s name |
RANDY S. MORRIS M.D., S.C. |
Plan administrator’s
address |
636 RAYMOND DRIVE, SUITE 303, NAPERVILLE, IL, 605639792 |
Administrator’s telephone number |
6303576540 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
RANDY S. MORRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|