UROLOGY, LTD. PROFIT SHARING AND 401(K) PLAN
|
2012
|
362642944
|
2013-10-09
|
UROLOGY, LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8477410398
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
JAMES H GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
JAMES H GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGY, LTD. PROFIT SHARING AND 401(K) PLAN
|
2011
|
362642944
|
2012-10-08
|
UROLOGY, LTD.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8477410398
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
362642944 |
Plan administrator’s name |
UROLOGY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123 |
Administrator’s telephone number |
8477410398 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
JAMES GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
JAMES GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGY, LTD. PROFIT SHARING AND 401(K) PLAN
|
2010
|
362642944
|
2011-09-22
|
UROLOGY, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8477410398
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
362642944 |
Plan administrator’s name |
UROLOGY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123 |
Administrator’s telephone number |
8477410398 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
JAMES GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-22 |
Name of individual signing |
JAMES GRIFFIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGY, LTD. PROFIT SHARING AND 401(K) PLAN
|
2009
|
362642944
|
2010-09-24
|
UROLOGY, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8477410398
|
Plan sponsor’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
362642944 |
Plan administrator’s name |
UROLOGY, LTD. |
Plan administrator’s
address |
745 FLETCHER DRIVE, ELGIN, IL, 60123 |
Administrator’s telephone number |
8477410398 |
Signature of
Role |
Plan administrator |
Date |
2010-09-24 |
Name of individual signing |
ROGER BIELINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|