EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
203932441
|
2024-09-26
|
EXCEL ADMINISTRATION SERVICES, INC.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY ROAD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-26 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
203932441
|
2023-10-05
|
EXCEL ADMINISTRATION SERVICES, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY ROAD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2023-10-05 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-05 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
203932441
|
2022-06-23
|
EXCEL ADMINISTRATION SERVICES, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY ROAD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2022-06-03 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-03 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
203932441
|
2021-10-14
|
EXCEL ADMINISTRATION SERVICES, INC.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY ROAD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
203932441
|
2020-10-09
|
EXCEL ADMINISTRATION SERVICES, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY ROAD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-09 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401 K PROFIT SHARING PLAN TRUST 001
|
2018
|
203932441
|
2019-07-08
|
EXCEL ADMINISTRATION SERVICES
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY RD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY 401 K PROFIT SHARING PLAN TRUST 001
|
2017
|
203932441
|
2018-07-23
|
EXCEL ADMINISTRATION SERVICES
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
INC, 107 GREEN BAY RD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCEL ATIA GASTROENTEROLOGY RETIREMENT PLAN
|
2014
|
471423461
|
2015-06-16
|
EXCEL ADMINISTRATION SERVICES
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8472174510
|
Plan sponsor’s
address |
107 GREEN BAY RD, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2015-06-16 |
Name of individual signing |
EMILY ATIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|