PALOS EMERGENCY MEDICAL SERVICES, LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
363061538
|
2012-10-14
|
PALOS EMERGENCY MEDICAL SERVICES, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-08-01
|
Business code |
621410
|
Sponsor’s telephone number |
7084309876
|
Plan sponsor’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363061538 |
Plan administrator’s name |
PALOS EMERGENCY MEDICAL SERVICES, LTD. |
Plan administrator’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
7084309876 |
Signature of
Role |
Plan administrator |
Date |
2012-10-14 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-14 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS EMERGENCY MEDICAL SERVICES, LTD. DEFINED BENEFIT RETIREMENT PLAN
|
2011
|
363061538
|
2012-10-15
|
PALOS EMERGENCY MEDICAL SERVICES, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-11-01
|
Business code |
621410
|
Sponsor’s telephone number |
6304728800
|
Plan sponsor’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363061538 |
Plan administrator’s name |
PALOS EMERGENCY MEDICAL SERVICES, LTD. |
Plan administrator’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304728800 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JOSEPH BREMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
JOSEPH BREMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS EMERGENCY MEDICAL SERVICES LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
363061538
|
2011-11-29
|
PALOS EMERGENCY MEDICAL SERVICES, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-08-01
|
Business code |
621410
|
Sponsor’s telephone number |
6304728800
|
Plan sponsor’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363061538 |
Plan administrator’s name |
PALOS EMERGENCY MEDICAL SERVICES, LTD. |
Plan administrator’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304728800 |
Signature of
Role |
Plan administrator |
Date |
2011-11-29 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-29 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS EMERGENCY MEDICAL SERVICES, LTD. PENSION PLAN
|
2010
|
363061538
|
2011-10-15
|
PALOS EMERGENCY MEDICAL SERVICES, LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-08-01
|
Business code |
621410
|
Sponsor’s telephone number |
6304728800
|
Plan sponsor’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363061538 |
Plan administrator’s name |
PALOS EMERGENCY MEDICAL SERVICES, LTD. |
Plan administrator’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304728800 |
Signature of
Role |
Plan administrator |
Date |
2011-10-15 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-15 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PALOS EMERGENCY MEDICAL SERVICES LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
363061538
|
2011-10-15
|
PALOS EMERGENCY MEDICAL SERVICES, LTD.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-08-01
|
Business code |
621410
|
Sponsor’s telephone number |
6304728800
|
Plan sponsor’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
363061538 |
Plan administrator’s name |
PALOS EMERGENCY MEDICAL SERVICES, LTD. |
Plan administrator’s
address |
2000 SPRING ROAD, SUITE 200, OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304728800 |
Signature of
Role |
Plan administrator |
Date |
2011-10-15 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-15 |
Name of individual signing |
JOSEPH C. BREMER, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|