ILLINOIS DERMATOLOGY INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
263341995
|
2013-06-24
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473644717
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007
|
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
MICHAEL GREENBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-24 |
Name of individual signing |
MICHAEL GREENBERG, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
263341995
|
2012-06-26
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473644717
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
263341995 |
Plan administrator’s name |
ILLINOIS DERMATOLOGY INSTITUTE, LLC |
Plan administrator’s
address |
800 BIESTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8473644717 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-26 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
263341995
|
2011-06-23
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473644717
|
Plan sponsor’s
address |
800 BIESTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
263341995 |
Plan administrator’s name |
ILLINOIS DERMATOLOGY INSTITUTE, LLC |
Plan administrator’s
address |
800 BIESTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8473644717 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-23 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
263341995
|
2010-08-02
|
ILLINOIS DERMATOLOGY INSTITUTE, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473644717
|
Plan sponsor’s
address |
800 BEISTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007
|
Plan administrator’s name and address
Administrator’s EIN |
263341995 |
Plan administrator’s name |
ILLINOIS DERMATOLOGY INSTITUTE, LLC |
Plan administrator’s
address |
800 BEISTERFIELD ROAD, SUITE 3002, ELK GROVE VILLAGE, IL, 60007 |
Administrator’s telephone number |
8473644717 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
MICHAEL GREENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|