ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST
|
2011
|
362721486
|
2013-07-10
|
ZION CLINIC, S.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477463752
|
Plan sponsor’s
address |
3115 LEWIS AVE, ZION, IL, 600993099
|
Plan administrator’s name and address
Administrator’s EIN |
362721486 |
Plan administrator’s name |
ZION CLINIC, S.C. |
Plan administrator’s
address |
3115 LEWIS AVE, ZION, IL, 600993099 |
Administrator’s telephone number |
8477463752 |
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
C. DAVID ENGSTROM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST
|
2010
|
362721486
|
2012-08-08
|
ZION CLINIC, S.C.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477463752
|
Plan sponsor’s
address |
3115 LEWIS AVE, ZION, IL, 600993099
|
Plan administrator’s name and address
Administrator’s EIN |
362721486 |
Plan administrator’s name |
ZION CLINIC, S.C. |
Plan administrator’s
address |
3115 LEWIS AVE, ZION, IL, 600993099 |
Administrator’s telephone number |
8477463752 |
Signature of
Role |
Plan administrator |
Date |
2012-08-08 |
Name of individual signing |
C. DAVID ENGSTROM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZION CLINIC, S.C. RESTATED PROFIT-SHARING PLAN & TRUST
|
2009
|
362721486
|
2011-07-22
|
ZION CLINIC, S.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8477463752
|
Plan sponsor’s
address |
3115 LEWIS AVE, ZION, IL, 600993099
|
Plan administrator’s name and address
Administrator’s EIN |
362721486 |
Plan administrator’s name |
ZION CLINIC, S.C. |
Plan administrator’s
address |
3115 LEWIS AVE, ZION, IL, 600993099 |
Administrator’s telephone number |
8477463752 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
C. DAVID ENGSTROM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|