KAILASH C. SHARMA, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST
|
2011
|
383645450
|
2012-10-04
|
KAILASH C. SHARMA, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
383645450
|
2012-10-04
|
KAILASH C. SHARMA, M.D., S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST
|
2010
|
383645450
|
2011-05-06
|
KAILASH C. SHARMA, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2011-05-06 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-06 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
383645450
|
2011-05-06
|
KAILASH C. SHARMA, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2011-05-06 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-06 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST
|
2010
|
383645450
|
2011-05-06
|
KAILASH C. SHARMA, M.D., S.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2011-05-05 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-05 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. CASH BALANCE PENSION PLAN & TRUST
|
2009
|
383645450
|
2010-08-23
|
KAILASH C. SHARMA, M.D., S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2010-08-21 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-21 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAILASH C. SHARMA, M.D., S.C. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
383645450
|
2010-09-01
|
KAILASH C. SHARMA, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7086874620
|
Plan sponsor’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452
|
Plan administrator’s name and address
Administrator’s EIN |
383645450 |
Plan administrator’s name |
KAILASH C. SHARMA, M.D., S.C. |
Plan administrator’s
address |
6320 W. 159TH ST, UNIT E, OAK FOREST, IL, 60452 |
Administrator’s telephone number |
7086874620 |
Signature of
Role |
Plan administrator |
Date |
2010-08-31 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-31 |
Name of individual signing |
KAILASH SHARMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|