NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2023
|
473467688
|
2024-06-24
|
NORTHWEST HEALTH CENTER LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8476375242
|
Plan sponsor’s
address |
45 SOUTH DUNTON AVENUE, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
MICHAEL DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2023
|
473467688
|
2024-06-24
|
NORTHWEST HEALTH CENTER LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8476375242
|
Plan sponsor’s
address |
45 SOUTH DUNTON AVENUE, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
MICHAEL DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2022
|
473467688
|
2023-05-10
|
NORTHWEST HEALTH CENTER LTD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8476375242
|
Plan sponsor’s
address |
45 SOUTH DUNTON AVENUE, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2023-05-10 |
Name of individual signing |
MICHAEL DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2021
|
473467688
|
2022-10-12
|
NORTHWEST HEALTH CENTER, LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8476568026
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT
|
2020
|
473467688
|
2021-07-07
|
NORTHWEST HEALTH CENTER, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8476568026
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2021-07-07 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2019
|
473467688
|
2020-07-27
|
NORTHWEST HEALTH CENTER, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8476568026
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2018
|
473467688
|
2019-10-01
|
NORTHWEST HEALTH CENTER, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8663111416
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2017
|
473467688
|
2018-07-10
|
NORTHWEST HEALTH CENTER, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8663111416
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2016
|
473467688
|
2017-07-26
|
NORTHWEST HEALTH CENTER, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8663111416
|
Plan sponsor’s
address |
45 S DUNTON AVE, ARLINGTON HEIGHTS, IL, 600051401
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST HEALTH CENTER RETIREMENT SAVINGS PLAN
|
2015
|
473467688
|
2016-07-21
|
NORTHWEST HEALTH CENTER, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8476375242
|
Plan sponsor’s
address |
45 SOUTH DUNTON AVENUE, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
DR. MIKE DZIURGOT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|