OAKBROOK PRIMARY CARE PENSION PLAN
|
2015
|
363888299
|
2016-06-23
|
OAKBROOK PRIMARY CARE
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2014
|
363888299
|
2015-10-12
|
OAKBROOK PRIMARY CARE
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2013
|
363888299
|
2014-10-12
|
OAKBROOK PRIMARY CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Signature of
Role |
Plan administrator |
Date |
2014-10-12 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-12 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2012
|
363888299
|
2013-10-15
|
OAKBROOK PRIMARY CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2011
|
363888299
|
2012-10-15
|
OAKBROOK PRIMARY CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Plan administrator’s name and address
Administrator’s EIN |
363888299 |
Plan administrator’s name |
OAKBROOK PRIMARY CARE |
Plan administrator’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352 |
Administrator’s telephone number |
6308898922 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2010
|
363888299
|
2011-10-17
|
OAKBROOK PRIMARY CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Plan administrator’s name and address
Administrator’s EIN |
363888299 |
Plan administrator’s name |
OAKBROOK PRIMARY CARE |
Plan administrator’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352 |
Administrator’s telephone number |
6308898922 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAKBROOK PRIMARY CARE PENSION PLAN
|
2009
|
363888299
|
2010-10-15
|
OAKBROOK PRIMARY CARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
006
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6308898922
|
Plan sponsor’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352
|
Plan administrator’s name and address
Administrator’s EIN |
363888299 |
Plan administrator’s name |
OAKBROOK PRIMARY CARE |
Plan administrator’s
address |
8400 WALREDON AVE, BURR RIDGE, IL, 605276352 |
Administrator’s telephone number |
6308898922 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
DINA DESAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|