MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2017
|
200160739
|
2018-10-10
|
MOKENA FAMILY PHYSICIANS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2016
|
200160739
|
2017-09-06
|
MOKENA FAMILY PHYSICIANS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2017-08-21 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-21 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2015
|
200160739
|
2016-09-06
|
MOKENA FAMILY PHYSICIANS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2016-08-31 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-31 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2014
|
200160739
|
2015-09-28
|
MOKENA FAMILY PHYSICIANS, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2013
|
200160739
|
2014-06-20
|
MOKENA FAMILY PHYSICIANS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-04 |
Name of individual signing |
ROSEMARY MCGRATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2012
|
200160739
|
2013-07-24
|
MOKENA FAMILY PHYSICIANS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
RHONDA DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2011
|
200160739
|
2012-09-25
|
MOKENA FAMILY PHYSICIANS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
200160739 |
Plan administrator’s name |
MOKENA FAMILY PHYSICIANS, LLC |
Plan administrator’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084794681 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
LUCY CANADAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-25 |
Name of individual signing |
LUCY CANADAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOKENA FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2010
|
200160739
|
2011-07-08
|
MOKENA FAMILY PHYSICIANS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7084794681
|
Plan sponsor’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
200160739 |
Plan administrator’s name |
MOKENA FAMILY PHYSICIANS, LLC |
Plan administrator’s
address |
11243 WEST LAPORTE ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084794681 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
LUCY CANADAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-08 |
Name of individual signing |
LUCY CANADAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|