|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2023
|
264773173
|
2024-09-10
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-10 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-09-10 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2022
|
264773173
|
2023-09-21
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-21 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2021
|
264773173
|
2022-10-06
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-06 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2020
|
264773173
|
2021-10-12
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-12 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-10-12 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2019
|
264773173
|
2020-10-06
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE - SUITE 304, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-06 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELITE SPORTS MEDICINE INSTITUTE 401(K) PLAN
|
2018
|
264773173
|
2019-10-14
|
ELITE SPORTS MEDICINE INSTITUTE, LTD.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6307893764
|
| Plan sponsor’s
address |
760 PASQUINELLI DRIVE, WESTMONT, IL, 60559
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-14 |
| Name of individual signing |
KETAN MODY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
