PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANC PLAN
|
2012
|
363263722
|
2013-10-08
|
PEDIATRIC ANESTHESIA ASSOCIATES LTD
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122275147
|
Plan sponsor’s
address |
225 E. CHICAGO AVE., 6TH FLOOR SUITE 06-C32, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
PATRICK BIRMINGHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN
|
2011
|
363263722
|
2012-07-26
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738804414
|
Plan sponsor’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
363263722 |
Plan administrator’s name |
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. |
Plan administrator’s
address |
2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363 |
Administrator’s telephone number |
7738804414 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN
|
2010
|
363263722
|
2011-07-14
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738804414
|
Plan sponsor’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
363263722 |
Plan administrator’s name |
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. |
Plan administrator’s
address |
2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363 |
Administrator’s telephone number |
7738804414 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-14 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN
|
2009
|
363263722
|
2011-03-08
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
|
21
|
|
Three-digit plan number (PN) |
003
|
Business code |
621111
|
Sponsor’s telephone number |
7738804414
|
Plan sponsor’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
363263722 |
Plan administrator’s name |
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. |
Plan administrator’s
address |
2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363 |
Administrator’s telephone number |
7738804414 |
Signature of
Role |
Plan administrator |
Date |
2011-03-08 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-08 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. CASH BALANCE PLAN
|
2009
|
363263722
|
2011-03-08
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738804414
|
Plan sponsor’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
363263722 |
Plan administrator’s name |
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. |
Plan administrator’s
address |
2300 CHILDRENS PLAZA, CHICAGO, IL, 606143363 |
Administrator’s telephone number |
7738804414 |
Signature of
Role |
Plan administrator |
Date |
2011-03-08 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-08 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. PROFIT SHARING PLAN
|
2009
|
363263722
|
2010-09-27
|
PEDIATRIC ANESTHESIA ASSOCIATES, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7738804414
|
Plan sponsor’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614
|
Plan administrator’s name and address
Administrator’s EIN |
363263722 |
Plan administrator’s name |
PEDIATRIC ANESTHESIA ASSOCIATES, LTD. |
Plan administrator’s
address |
2300 CHILDREN S PLAZA, CHICAGO, IL, 60614 |
Administrator’s telephone number |
7738804414 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
ANDREW G. ROTH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|