MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2021
|
260854510
|
2022-03-15
|
MIDWEST BONE & JOINT SURGERY, P. C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2022-03-15 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2020
|
260854510
|
2022-01-10
|
MIDWEST BONE & JOINT SURGERY, P. C.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2022-01-10 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2020
|
260854510
|
2021-04-14
|
MIDWEST BONE & JOINT SURGERY, P. C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2021-04-14 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2019
|
260854510
|
2020-08-24
|
MIDWEST BONE & JOINT SURGERY, P. C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2020-08-24 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2018
|
260854510
|
2019-09-21
|
MIDWEST BONE & JOINT SURGERY, P. C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2019-09-21 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST BONE & JOINT SURGERY 401(K) PLAN
|
2017
|
260854510
|
2018-05-10
|
MIDWEST BONE & JOINT SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2018-05-10 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST REGIONAL BONE & JOINT 401(K) PLAN
|
2016
|
260854510
|
2017-03-10
|
MIDWEST BONE & JOINT SURGERY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2017-03-10 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST REGIONAL BONE & JOINT 401(K) PLAN
|
2015
|
260854510
|
2016-07-25
|
MIDWEST BONE & JOINT SURGERY, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6186545400
|
Plan sponsor’s
address |
30 APEX DRIVE, HIGHLAND, IL, 62249
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
MALISSA UNGACTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|