|
SOUTHWEST PEDIATRICS, LTD. PROFIT SHARING PLAN
|
2011
|
363139058
|
2012-09-28
|
SOUTHWEST PEDIATRICS, LTD.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7083613300
|
| Plan sponsor’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041
|
Plan administrator’s name and address
| Administrator’s EIN |
363139058 |
| Plan administrator’s name |
SOUTHWEST PEDIATRICS, LTD. |
| Plan administrator’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041 |
| Administrator’s telephone number |
7083613300 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-28 |
| Name of individual signing |
GEORGE HARRIS III, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHWEST PEDIATRICS, LTD. PROFIT SHARING PLAN
|
2010
|
363139058
|
2011-08-18
|
SOUTHWEST PEDIATRICS, LTD.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7083613300
|
| Plan sponsor’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041
|
Plan administrator’s name and address
| Administrator’s EIN |
363139058 |
| Plan administrator’s name |
SOUTHWEST PEDIATRICS, LTD. |
| Plan administrator’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041 |
| Administrator’s telephone number |
7083613300 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-18 |
| Name of individual signing |
GEORGE HARRIS III, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHWEST PEDIATRICS, LTD. PROFIT SHARING PLAN
|
2009
|
363139058
|
2010-12-15
|
SOUTHWEST PEDIATRICS, LTD.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7083613300
|
| Plan sponsor’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041
|
Plan administrator’s name and address
| Administrator’s EIN |
363139058 |
| Plan administrator’s name |
SOUTHWEST PEDIATRICS, LTD. |
| Plan administrator’s
address |
8100 W 119TH ST, PALOS PARK, IL, 604643041 |
| Administrator’s telephone number |
7083613300 |
Signature of
| Role |
Plan administrator |
| Date |
2010-12-15 |
| Name of individual signing |
G. HARRIS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
