WILLIAM PICCIONE MD LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

THE VEIN CARE CENTER PROFIT SHARING PLAN

2017

562375134

2018-10-11

WILLIAM PICCIONE MD, LLC

Signature of

Role	Plan administrator
Date	2018-10-11
Name of individual signing	WILLIAM PICCIONE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-10-11
Name of individual signing	WILLIAM PICCIONE
Valid signature	Filed with authorized/valid electronic signature

THE VEIN CARE CENTER DEFINED BENEFIT PLAN

2017

562375134

2018-10-11

WILLIAM PICCIONE MD, LLC

Signature of

Role	Plan administrator
Date	2018-10-11
Name of individual signing	WILLIAM PICCIONE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-10-11
Name of individual signing	WILLIAM PICCIONE
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
WILLIAM PICCIONE, 1027 WEST LILL ST, CHICAGO, 60614, COOK-NOT IN CITY OF CHICAGO	Agent	2003-08-20

Name and Address	Role	Appointment Date
PICCIONE, WILLIAM MD, 1027 W LILL ST, CHICAGO, IL, 60614	Member	2003-08-20

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
THE VEIN CARE CENTER	Assumed name	2004-01-13	2024-10-11	Voluntary cancellation	2020-07-09

Date of last update: 23 Jan 2025