SOMA MEDICAL CLINIC, L.L.C. DEFINED BENEFIT PENSION PLAN
|
2014
|
364049995
|
2015-10-12
|
SOMA MEDICAL CLINIC, L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
MARK SOBOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. DEFINED BENEFIT PENSION PLAN
|
2013
|
364049995
|
2014-10-10
|
SOMA MEDICAL CLINIC, L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
MARK SOBOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. PROFIT SHARING PLAN
|
2013
|
364049995
|
2014-10-10
|
SOMA MEDICAL CLINIC, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
MARK SOBOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. DEFINED BENEFIT PENSION PLAN
|
2012
|
364049995
|
2013-10-01
|
SOMA MEDICAL CLINIC, L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
MARK SOBOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. PROFIT SHARING PLAN
|
2012
|
364049995
|
2013-10-01
|
SOMA MEDICAL CLINIC, L.L.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
MARK SOBOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. DEFINED BENEFIT PENSION PLAN
|
2011
|
364049995
|
2012-10-03
|
SOMA MEDICAL CLINIC, L.L.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221
|
Plan administrator’s name and address
Administrator’s EIN |
364049995 |
Plan administrator’s name |
SOMA MEDICAL CLINIC, L.L.C. |
Plan administrator’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221 |
Administrator’s telephone number |
7736319420 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
MARK SOBOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-03 |
Name of individual signing |
MARK SOBOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. PROFIT SHARING PLAN
|
2011
|
364049995
|
2012-10-03
|
SOMA MEDICAL CLINIC, L.L.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221
|
Plan administrator’s name and address
Administrator’s EIN |
364049995 |
Plan administrator’s name |
SOMA MEDICAL CLINIC, L.L.C. |
Plan administrator’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221 |
Administrator’s telephone number |
7736319420 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
MARK SOBOR, M. D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-03 |
Name of individual signing |
MARK SOBOR, M. D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
364049995
|
2011-10-11
|
SOMA MEDICAL CLINIC, L.L.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221
|
Plan administrator’s name and address
Administrator’s EIN |
364049995 |
Plan administrator’s name |
SOMA MEDICAL CLINIC, L.L.C. |
Plan administrator’s
address |
5647 N. MILWAUKEE AVE., CHICAGO, IL, 606466221 |
Administrator’s telephone number |
7736319420 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
MARK SOBOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
MARK SOBOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. PROFIT SHARING PLAN
|
2010
|
364049995
|
2011-10-05
|
SOMA MEDICAL CLINIC, L.L.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221
|
Plan administrator’s name and address
Administrator’s EIN |
364049995 |
Plan administrator’s name |
SOMA MEDICAL CLINIC, L.L.C. |
Plan administrator’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221 |
Administrator’s telephone number |
7736319420 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
MARK SOBOR, M. D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
MARK SOBOR, M. D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOMA MEDICAL CLINIC, L.L.C. PROFIT SHARING PLAN
|
2010
|
364049995
|
2011-09-29
|
SOMA MEDICAL CLINIC, L.L.C.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7736319420
|
Plan sponsor’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221
|
Plan administrator’s name and address
Administrator’s EIN |
364049995 |
Plan administrator’s name |
SOMA MEDICAL CLINIC, L.L.C. |
Plan administrator’s
address |
5647 N. MILWAUKEE AVENUE, CHICAGO, IL, 606466221 |
Administrator’s telephone number |
7736319420 |
|