PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES' 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
201926442
|
2013-07-08
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Signature of
Role |
Plan administrator |
Date |
2013-07-07 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-07 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2011
|
201926442
|
2012-07-27
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
201926442 |
Plan administrator’s name |
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC |
Plan administrator’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087992316 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2011
|
201926442
|
2012-07-27
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
201926442 |
Plan administrator’s name |
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC |
Plan administrator’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087992316 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
201926442
|
2012-06-11
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
201926442 |
Plan administrator’s name |
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC |
Plan administrator’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087992316 |
Signature of
Role |
Plan administrator |
Date |
2012-06-09 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-09 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2010
|
201926442
|
2011-09-09
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
201926442 |
Plan administrator’s name |
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC |
Plan administrator’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087992316 |
Signature of
Role |
Plan administrator |
Date |
2011-09-09 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-09 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
201926442
|
2011-07-18
|
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087992316
|
Plan sponsor’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422
|
Plan administrator’s name and address
Administrator’s EIN |
201926442 |
Plan administrator’s name |
PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC |
Plan administrator’s
address |
813 GARDNER ROAD, FLOSSMOOR, IL, 60422 |
Administrator’s telephone number |
7087992316 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-15 |
Name of individual signing |
ROBERT ARONSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|