OAK SURGICAL INSTITUTE RETIREMENT TRUST
|
2012
|
364337136
|
2013-03-06
|
OAK SURGICAL INSTITUTE
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084920519
|
Plan sponsor’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
364337136 |
Plan administrator’s name |
OAK SURGICAL INSTITUTE |
Plan administrator’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915 |
Administrator’s telephone number |
7084920519 |
Signature of
Role |
Plan administrator |
Date |
2013-03-06 |
Name of individual signing |
JOY MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK SURGICAL INSTITUTE RETIREMENT TRUST
|
2012
|
364337136
|
2013-08-07
|
OAK SURGICAL INSTITUTE
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084920519
|
Plan sponsor’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 609152152
|
Plan administrator’s name and address
Administrator’s EIN |
364337136 |
Plan administrator’s name |
OAK SURGICAL INSTITUTE |
Plan administrator’s
address |
403 S. KENNEDY DRIVE, BRADLEY, ID, 609152152 |
Administrator’s telephone number |
7084920519 |
Signature of
Role |
Plan administrator |
Date |
2013-08-07 |
Name of individual signing |
JOY MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK SURGICAL INSTITUTE RETIREMENT TRUST
|
2011
|
364337136
|
2012-05-01
|
OAK SURGICAL INSTITUTE
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084920519
|
Plan sponsor’s
address |
403 SOUTH KENNEDY DRIVE, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
364337136 |
Plan administrator’s name |
OAK SURGICAL INSTITUTE |
Plan administrator’s
address |
403 SOUTH KENNEDY DRIVE, BRADLEY, IL, 60915 |
Administrator’s telephone number |
7084920519 |
Signature of
Role |
Plan administrator |
Date |
2012-05-01 |
Name of individual signing |
JOY MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-01 |
Name of individual signing |
MICHAEL CORCORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK SURGICAL INSTITUTE RETIREMENT TRUST
|
2010
|
364337136
|
2011-08-25
|
OAK SURGICAL INSTITUTE
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084920519
|
Plan sponsor’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
364337136 |
Plan administrator’s name |
OAK SURGICAL INSTITUTE |
Plan administrator’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915 |
Administrator’s telephone number |
7084920519 |
Signature of
Role |
Plan administrator |
Date |
2011-08-25 |
Name of individual signing |
JOY MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-25 |
Name of individual signing |
DR. MICHAEL CORCORAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK SURGICAL INSTITUTE RETIREMENT TRUST
|
2009
|
364337136
|
2010-07-12
|
OAK SURGICAL INSTITUTE
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084920519
|
Plan sponsor’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
364337136 |
Plan administrator’s name |
OAK SURGICAL INSTITUTE |
Plan administrator’s
address |
403 S. KENNEDY DRIVE, BRADLEY, IL, 60915 |
Administrator’s telephone number |
7084920519 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
SANDRA TAMMEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|