NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2012
|
362765923
|
2013-10-07
|
NORTHWEST EYE PHYSICIANS, LTD.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
CARL GARFINKLE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2011
|
362765923
|
2012-10-04
|
NORTHWEST EYE PHYSICIANS, LTD.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
CARL GARFINKLE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2010
|
362765923
|
2011-10-20
|
NORTHWEST EYE PHYSICIANS, LTD.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2011-10-20 |
Name of individual signing |
CARL GARFINKLE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2009
|
362765923
|
2011-01-12
|
NORTHWEST EYE PHYSICIANS, LTD.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CARL GARFINKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2009
|
362765923
|
2011-01-12
|
NORTHWEST EYE PHYSICIANS, LTD.
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CARL GARFINKLE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
CARL GARFINKLE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2009
|
362765923
|
2011-01-12
|
NORTHWEST EYE PHYSICIANS, LTD.
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CARL GARFINKLE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NORTHWEST EYE PHYSICIANS, LTD. CASH OR DEFERRED PROFIT SHARING PLAN & TRUST
|
2009
|
362765923
|
2011-01-12
|
NORTHWEST EYE PHYSICIANS, LTD.
|
23
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473927115
|
Plan sponsor’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
362765923 |
Plan administrator’s name |
NORTHWEST EYE PHYSICIANS, LTD. |
Plan administrator’s
address |
1588 N. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8473927115 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
CARL GARFINKLE, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|