GOLF MILL MEDICAL CENTER, LTD. 401K PROFIT SHARING PLAN
|
2011
|
731656829
|
2012-09-18
|
GOLF MILL MEDICAL CENTER, LTD.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478331658
|
Plan sponsor’s
address |
7124 W TOUHY, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
731656829 |
Plan administrator’s name |
GOLF MILL MEDICAL CENTER, LTD. |
Plan administrator’s
address |
7124 W TOUHY, NILES, IL, 60714 |
Administrator’s telephone number |
8478331658 |
Signature of
Role |
Plan administrator |
Date |
2012-09-18 |
Name of individual signing |
EDWARD E. HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-18 |
Name of individual signing |
EDWARD E. HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLF MILL MEDICAL CENTER, LTD. 401K PROFIT SHARING PLAN
|
2010
|
731656829
|
2011-07-28
|
GOLF MILL MEDICAL CENTER, LTD.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478331658
|
Plan sponsor’s
address |
7124 W TOUHY, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
731656829 |
Plan administrator’s name |
GOLF MILL MEDICAL CENTER, LTD. |
Plan administrator’s
address |
7124 W TOUHY, NILES, IL, 60714 |
Administrator’s telephone number |
8478331658 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
EDWARD E. HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-28 |
Name of individual signing |
EDWARD E. HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLF MILL MEDICAL CENTER, LTD. 401K PROFIT SHARING PLAN
|
2009
|
731656829
|
2010-08-10
|
GOLF MILL MEDICAL CENTER, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478331658
|
Plan sponsor’s
address |
241 GOLF MILL CENTER #200, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
731656829 |
Plan administrator’s name |
GOLF MILL MEDICAL CENTER, LTD. |
Plan administrator’s
address |
241 GOLF MILL CENTER #200, NILES, IL, 60714 |
Administrator’s telephone number |
8478331658 |
Signature of
Role |
Plan administrator |
Date |
2010-08-10 |
Name of individual signing |
EDWARD HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-10 |
Name of individual signing |
EDWARD HERNAEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|