ORLANDO S. CUASAY, M.D., LTD PROFIT SHARING PLAN & TRUST
|
2011
|
363006676
|
2012-07-26
|
ORLANDO S. CUASAY, M.D., LTD
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
8122680453
|
Plan sponsor’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363006676 |
Plan administrator’s name |
ORLANDO S. CUASAY, M.D., LTD |
Plan administrator’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
8122680453 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-25 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO S. CUASAY, M.D., LTD PROFIT SHARING PLAN & TRUST
|
2010
|
363006676
|
2011-09-15
|
ORLANDO S. CUASAY, M.D., LTD
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
8122680453
|
Plan sponsor’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363006676 |
Plan administrator’s name |
ORLANDO S. CUASAY, M.D., LTD |
Plan administrator’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
8122680453 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-14 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO S. CUASAY, M.D., LTD PROFIT SHARING PLAN & TRUST
|
2009
|
363006676
|
2010-07-28
|
ORLANDO S. CUASAY, M.D., LTD
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
0000000000
|
Plan sponsor’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363006676 |
Plan administrator’s name |
ORLANDO S. CUASAY, M.D., LTD |
Plan administrator’s
address |
38 KINGSTON DRIVE, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
0000000000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
ORLANDO CUASAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|