NORTHWEST NEUROSURGERY INSTITUTE, LLC EMPLOYEES PROFIT SHARING PLAN
|
2011
|
203894151
|
2012-07-10
|
NORTHWEST NEUROSURGERY INSTITUTE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473989100
|
Plan sponsor’s
address |
880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
203894151 |
Plan administrator’s name |
NORTHWEST NEUROSURGERY INSTITUTE, LLC |
Plan administrator’s
address |
880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8473989100 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
MINA FOROOHAR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST NEUROSURGERY INSTITUTE, LLC EMPLOYEES PROFIT SHARING PLAN
|
2010
|
203894151
|
2011-09-07
|
NORTHWEST NEUROSURGERY INSTITUTE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473989100
|
Plan sponsor’s
address |
880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
203894151 |
Plan administrator’s name |
NORTHWEST NEUROSURGERY INSTITUTE, LLC |
Plan administrator’s
address |
L880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8473989100 |
Signature of
Role |
Plan administrator |
Date |
2011-09-07 |
Name of individual signing |
MINA FOROOHAR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST NEUROSURGERY INSTITUTE, LLC EMPLOYEES PROFIT SHARING PLAN
|
2009
|
203894151
|
2010-08-03
|
NORTHWEST NEUROSURGERY INSTITUTE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473989100
|
Plan sponsor’s
address |
880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
203894151 |
Plan administrator’s name |
NORTHWEST NEUROSURGERY INSTITUTE, LLC |
Plan administrator’s
address |
L880 WEST CENTRAL ROAD, SUITE 3200, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8473989100 |
Signature of
Role |
Plan administrator |
Date |
2010-08-03 |
Name of individual signing |
MINA FOROOHAR, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|