DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2021
|
800033465
|
2022-04-01
|
DEERPATH AMBULATORY SURGICAL CENTER, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153185666
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2022-04-01 |
Name of individual signing |
CRYSTAL ROLLINGS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2020
|
800033465
|
2021-05-11
|
DEERPATH AMBULATORY SURGICAL CENTER, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2021-05-10 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-10 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2019
|
800033465
|
2020-08-06
|
DEERPATH AMBULATORY SURGICAL CENTER, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153185666
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2020-08-06 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-06 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH AMBULATORY SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2018
|
800033465
|
2019-09-17
|
DEERPATH AMBULATORY SURGICAL CENTER, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153185666
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2019-09-13 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-13 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2017
|
800033465
|
2018-05-03
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2018-05-02 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-02 |
Name of individual signing |
MICHELE CHESHARECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2016
|
800033465
|
2017-04-26
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2017-04-21 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-21 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2015
|
800033465
|
2016-08-19
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2016-08-18 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-18 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2014
|
800033465
|
2015-10-12
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2013
|
800033465
|
2014-10-02
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2012
|
800033465
|
2014-10-03
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|