EXTENDMED, INC. 401K PLAN
|
2011
|
364349809
|
2012-05-25
|
EXTENDMED, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
8477338410
|
Plan sponsor’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
364349809 |
Plan administrator’s name |
EXTENDMED, INC. |
Plan administrator’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201 |
Administrator’s telephone number |
8477338410 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
AMY RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-25 |
Name of individual signing |
AMY RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDMED, INC. 401K PLAN
|
2010
|
364349809
|
2012-10-03
|
EXTENDMED, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
519100
|
Sponsor’s telephone number |
8477338410
|
Plan sponsor’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
364349809 |
Plan administrator’s name |
EXTENDMED, INC. |
Plan administrator’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201 |
Administrator’s telephone number |
8477338410 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
AMY RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-03 |
Name of individual signing |
AMY RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDMED, INC. 401K PLAN
|
2010
|
364349809
|
2011-06-20
|
EXTENDMED, INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
519100
|
Sponsor’s telephone number |
8477338410
|
Plan sponsor’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
364349809 |
Plan administrator’s name |
EXTENDMED, INC. |
Plan administrator’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201 |
Administrator’s telephone number |
8477338410 |
Signature of
Role |
Plan administrator |
Date |
2011-06-20 |
Name of individual signing |
AMY M RAVI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-20 |
Name of individual signing |
AMY M RAVI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EXTENDMED, INC. 401K PLAN
|
2010
|
364349809
|
2011-06-21
|
EXTENDMED, INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
519100
|
Sponsor’s telephone number |
8477338410
|
Plan sponsor’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
364349809 |
Plan administrator’s name |
EXTENDMED, INC. |
Plan administrator’s
address |
1560 SHERMAN AVENUE, SUITE 410, EVANSTON, IL, 60201 |
Administrator’s telephone number |
8477338410 |
Signature of
Role |
Plan administrator |
Date |
2011-06-20 |
Name of individual signing |
AMY M RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-20 |
Name of individual signing |
AMY M RAVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDMED, INC. 401(K) PLAN
|
2009
|
364349809
|
2010-09-14
|
EXTENDMED, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
516110
|
Sponsor’s telephone number |
8477338410
|
Plan sponsor’s
address |
1560 SHERMAN AVENUE, EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
364349809 |
Plan administrator’s name |
EXTENDMED, INC. |
Plan administrator’s
address |
1560 SHERMAN AVENUE, EVANSTON, IL, 60201 |
Administrator’s telephone number |
8477338410 |
Signature of
Role |
Plan administrator |
Date |
2010-09-14 |
Name of individual signing |
SCOTT EMERING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|