PALOS SURGICENTER LLC 401(K) PLAN
|
2012
|
364404305
|
2013-10-17
|
PALOS SURGICENTER LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7083613233
|
Plan sponsor’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159
|
Signature of
Role |
Plan administrator |
Date |
2013-10-17 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS SURGICENTER, LLC 401(K) PLAN
|
2012
|
364404305
|
2013-04-10
|
PALOS SURGICENTER LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7083613233
|
Plan sponsor’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159
|
Signature of
Role |
Plan administrator |
Date |
2013-04-10 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS SURGICENTER, LLC 401(K) PLAN
|
2011
|
364404305
|
2012-04-17
|
PALOS SURGICENTER LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7083613233
|
Plan sponsor’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159
|
Plan administrator’s name and address
Administrator’s EIN |
364404305 |
Plan administrator’s name |
PALOS SURGICENTER LLC |
Plan administrator’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159 |
Administrator’s telephone number |
7083613233 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-17 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS SURGICENTER, LLC 401(K) PLAN
|
2010
|
364404305
|
2011-09-06
|
PALOS SURGICENTER LLC
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7083613233
|
Plan sponsor’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159
|
Plan administrator’s name and address
Administrator’s EIN |
364404305 |
Plan administrator’s name |
PALOS SURGICENTER LLC |
Plan administrator’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159 |
Administrator’s telephone number |
7083613233 |
Signature of
Role |
Plan administrator |
Date |
2011-09-06 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-06 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS SURGICENTER, LLC 401(K) PLAN
|
2009
|
364404305
|
2010-07-27
|
PALOS SURGICENTER LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7083613233
|
Plan sponsor’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159
|
Plan administrator’s name and address
Administrator’s EIN |
364404305 |
Plan administrator’s name |
PALOS SURGICENTER LLC |
Plan administrator’s
address |
7340 W COLLEGE DRIVE, PALOS HEIGHTS, IL, 604631159 |
Administrator’s telephone number |
7083613233 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
THOMAS HOLECEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|