ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
262806152
|
2024-05-30
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2024-05-30 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
262806152
|
2023-04-04
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2023-04-04 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
262806152
|
2022-10-07
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
262806152
|
2021-05-18
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2021-05-18 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
262806152
|
2020-04-21
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2020-04-21 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
262806152
|
2019-06-07
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
262806152
|
2018-05-02
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2018-05-02 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
262806152
|
2017-05-25
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
262806152
|
2016-06-09
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Signature of
Role |
Plan administrator |
Date |
2016-06-09 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE INTERNAL MEDICINE, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
262806152
|
2015-04-28
|
ALLIANCE INTERNAL MEDICINE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155237020
|
Plan sponsor’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195
|
Plan administrator’s name and address
Administrator’s EIN |
262806152 |
Plan administrator’s name |
ALLIANCE INTERNAL MEDICINE, S.C. |
Plan administrator’s
address |
370 LARRY POWER ROAD, SUITE 2, BOURBONNAIS, IL, 609145195 |
Administrator’s telephone number |
8155237020 |
Signature of
Role |
Plan administrator |
Date |
2015-04-28 |
Name of individual signing |
SAW OO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|