BHAGWAN D. JAIN, M.D. S.C. RETIREMENT TRUST
|
2011
|
363115781
|
2012-03-22
|
BHAGWAN D. JAIN, M.D. S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6306554991
|
Plan sponsor’s
address |
6401 MEADOW LANE, WILLOWBROOK, IL, 60521
|
Plan administrator’s name and address
Administrator’s EIN |
363115781 |
Plan administrator’s name |
BHAGWAN D. JAIN, M.D. S.C. |
Plan administrator’s
address |
6401 MEADOW LANE, WILLOWBROOK, IL, 60521 |
Administrator’s telephone number |
6306554991 |
Signature of
Role |
Plan administrator |
Date |
2012-03-22 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BHAGWAN D. JAIN, M.D. S.C. RETIREMENT TRUST
|
2009
|
363115781
|
2010-10-01
|
BHAGWAN D. JAIN, M.D. S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6306554991
|
Plan sponsor’s
address |
6401 MEADOW LANE, WILLOWBROOK, IL, 60521
|
Plan administrator’s name and address
Administrator’s EIN |
363115781 |
Plan administrator’s name |
BHAGWAN D. JAIN, M.D. S.C. |
Plan administrator’s
address |
6401 MEADOW LANE, WILLOWBROOK, IL, 60521 |
Administrator’s telephone number |
6306554991 |
Signature of
Role |
Plan administrator |
Date |
2010-10-01 |
Name of individual signing |
EDWIN BLITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|