NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
202750804
|
2014-07-03
|
NORTH SHORE PHYSICIANS GROUP, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472563600
|
Plan sponsor’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
JOHN HENNESSY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
202750804
|
2013-10-04
|
NORTH SHORE PHYSICIANS GROUP, LLC
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472563600
|
Plan sponsor’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
|
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
JOHN HENNESSY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
202750804
|
2012-10-12
|
NORTH SHORE PHYSICIANS GROUP, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472563600
|
Plan sponsor’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
|
Plan administrator’s name and address
Administrator’s EIN |
202750804 |
Plan administrator’s name |
NORTH SHORE PHYSICIANS GROUP, LLC |
Plan administrator’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800 |
Administrator’s telephone number |
8472563600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
JOHN HENNESSY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
202750804
|
2011-10-17
|
NORTH SHORE PHYSICIANS GROUP, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472563600
|
Plan sponsor’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
|
Plan administrator’s name and address
Administrator’s EIN |
202750804 |
Plan administrator’s name |
NORTH SHORE PHYSICIANS GROUP, LLC |
Plan administrator’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800 |
Administrator’s telephone number |
8472563600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
JOHN HENNESSY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE PHYSICIANS GROUP, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
202750804
|
2010-10-15
|
NORTH SHORE PHYSICIANS GROUP, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472563600
|
Plan sponsor’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800
|
Plan administrator’s name and address
Administrator’s EIN |
202750804 |
Plan administrator’s name |
NORTH SHORE PHYSICIANS GROUP, LLC |
Plan administrator’s
address |
1625 SHERIDAN ROAD - SUITE A, WILMETTE, IL, 600911800 |
Administrator’s telephone number |
8472563600 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
LINDA LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|