JOHN A ELSTROM MD SC DEFINED BENEFIT PENSION PLAN AND TRUST
|
2012
|
362954907
|
2013-07-02
|
JOHN A ELSTROM, M D , S C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2626572060
|
Plan sponsor’s
address |
406 N FRONT ST, MCHENRY, IL, 60050
|
Signature of
Role |
Plan administrator |
Date |
2013-07-02 |
Name of individual signing |
ROBERT HALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A ELSTROM MD SC DEFINED BENEFIT PENSION PLAN AND TRUST
|
2011
|
362954907
|
2012-06-06
|
JOHN A ELSTROM, M D , S C
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2626572060
|
Plan sponsor’s
address |
406 N FRONT ST, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362954907 |
Plan administrator’s name |
JOHN A ELSTROM M D S C |
Plan administrator’s
address |
406 N FRONT ST, MCHENRY, IL, 60050 |
Administrator’s telephone number |
2626572060 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
ROBERT HALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A ELSTROM MD SC DEFINED BENEFIT PENSION PLAN AND TRUST
|
2011
|
362954907
|
2012-06-04
|
JOHN A ELSTROM, M D , S C
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2626572060
|
Plan sponsor’s
address |
406 N FRONT ST, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362954907 |
Plan administrator’s name |
JOHN A ELSTROM M D S C |
Plan administrator’s
address |
406 N FRONT ST, MCHENRY, IL, 60050 |
Administrator’s telephone number |
2626572060 |
Signature of
Role |
Plan administrator |
Date |
2012-06-04 |
Name of individual signing |
ROBERT HALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A ELSTROM MD SC DEFINED BENEFIT PENSION PLAN AND TRUST
|
2010
|
362954907
|
2011-11-30
|
JOHN A ELSTROM, M D , S C
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
2626572060
|
Plan sponsor’s
address |
406 N FRONT ST, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
362954907 |
Plan administrator’s name |
JOHN A ELSTROM M D S C |
Plan administrator’s
address |
406 N FRONT ST, MCHENRY, IL, 60050 |
Administrator’s telephone number |
2626572060 |
Signature of
Role |
Plan administrator |
Date |
2011-11-30 |
Name of individual signing |
JOHN A. ELSTROM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|