FAIRVIEW PEDIATRICS LLC 401(K) AND PROFIT SHARING PLAN
|
2012
|
364470933
|
2013-12-03
|
FAIRVIEW PEDIATRICS LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475488777
|
Plan sponsor’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016
|
Signature of
Role |
Plan administrator |
Date |
2013-12-03 |
Name of individual signing |
JANICE KRAKORA-LOOBY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRVIEW PEDIATRICS LLC 401(K) AND PROFIT SHARING PLAN
|
2012
|
364470933
|
2013-06-03
|
FAIRVIEW PEDIATRICS LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475488777
|
Plan sponsor’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
JANCIE KRAKORA-LOOBY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRVIEW PEDIATRICS LLC 401(K) AND PROFIT SHARING PLAN
|
2011
|
364470933
|
2012-10-13
|
FAIRVIEW PEDIATRICS LLC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475488777
|
Plan sponsor’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016
|
Plan administrator’s name and address
Administrator’s EIN |
364470933 |
Plan administrator’s name |
FAIRVIEW PEDIATRICS LLC |
Plan administrator’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016 |
Administrator’s telephone number |
8475488777 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
JANICE KRAKORA-LOOBY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRVIEW PEDIATRICS LLC 401(K) AND PROFIT SHARING PLAN
|
2010
|
364470933
|
2011-05-12
|
FAIRVIEW PEDIATRICS LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475488777
|
Plan sponsor’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016
|
Plan administrator’s name and address
Administrator’s EIN |
364470933 |
Plan administrator’s name |
FAIRVIEW PEDIATRICS LLC |
Plan administrator’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016 |
Administrator’s telephone number |
8475488777 |
Signature of
Role |
Plan administrator |
Date |
2011-05-12 |
Name of individual signing |
JANCIE KRAKORA-LOOBY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRVIEW PEDIATRICS LLC 401(K) AND PROFIT SHARING PLAN
|
2009
|
364470933
|
2010-09-30
|
FAIRVIEW PEDIATRICS LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8475488777
|
Plan sponsor’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016
|
Plan administrator’s name and address
Administrator’s EIN |
364470933 |
Plan administrator’s name |
FAIRVIEW PEDIATRICS LLC |
Plan administrator’s
address |
1475 EAST BELVIDERE ROAD, SUITE 315, GRAYSLAKE, IL, 600302016 |
Administrator’s telephone number |
8475488777 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
JANICE KRAKORA-LOOBY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|