NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2023
|
270304120
|
2024-07-30
|
NONA FULK, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-30 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2022
|
270304120
|
2023-10-17
|
NONA FULK, M.D., S.C.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2021
|
270304120
|
2022-09-27
|
NONA FULK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2022-09-27 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-27 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2020
|
270304120
|
2021-10-05
|
NONA FULK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 330, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-05 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2019
|
270304120
|
2020-07-29
|
NONA FULK, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2018
|
270304120
|
2019-09-16
|
NONA FULK, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-16 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2017
|
270304120
|
2018-10-11
|
NONA FULK, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2016
|
270304120
|
2017-09-13
|
NONA FULK, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2017-09-13 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-13 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2015
|
270304120
|
2016-09-19
|
NONA FULK, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-19 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NONA FULK, M.D., S.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2014
|
270304120
|
2015-06-01
|
NONA FULK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098080940
|
Plan sponsor’s
address |
1300 FRANKLIN AVENUE, SUITE 360, NORMAL, IL, 61761
|
Signature of
Role |
Plan administrator |
Date |
2015-06-01 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-01 |
Name of individual signing |
NONA FULK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|