GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2017
|
263076093
|
2018-04-12
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2018-04-11 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2016
|
263076093
|
2017-07-29
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2017-07-29 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2015
|
263076093
|
2016-06-28
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2016-05-06 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2014
|
263076093
|
2015-08-20
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2015-08-20 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2013
|
263076093
|
2014-09-05
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2014-09-05 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2012
|
263076093
|
2013-08-15
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Signature of
Role |
Plan administrator |
Date |
2013-08-15 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2011
|
263076093
|
2012-06-06
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
263076093 |
Plan administrator’s name |
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. |
Plan administrator’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093 |
Administrator’s telephone number |
7738714600 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2010
|
263076093
|
2011-08-26
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
263076093 |
Plan administrator’s name |
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. |
Plan administrator’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093 |
Administrator’s telephone number |
7738714600 |
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. 401(K) PLAN
|
2009
|
263076093
|
2010-09-24
|
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738714600
|
Plan sponsor’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
263076093 |
Plan administrator’s name |
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD. |
Plan administrator’s
address |
671 SHERIDAN ROAD, WINNETKA, IL, 60093 |
Administrator’s telephone number |
7738714600 |
Signature of
Role |
Plan administrator |
Date |
2010-09-24 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-24 |
Name of individual signing |
KEIKHOSROW GHAZANFARI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|