|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
260593256
|
2013-02-21
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
|
104
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3124755515
|
| Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611
|
Signature of
| Role |
Plan administrator |
| Date |
2013-02-21 |
| Name of individual signing |
DR. STEVEN KODROS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-21 |
| Name of individual signing |
DR. STEVEN KODROS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
260593256
|
2012-06-29
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
|
109
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3124755515
|
| Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
260593256 |
| Plan administrator’s name |
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC |
| Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3124755515 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-29 |
| Name of individual signing |
DR. MARK BOWEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-29 |
| Name of individual signing |
DR. MARK BOWEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
260593256
|
2011-04-14
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
|
102
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3124755536
|
| Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
260593256 |
| Plan administrator’s name |
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC |
| Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3124755536 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-14 |
| Name of individual signing |
SHELLEY PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
260593256
|
2010-09-02
|
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC
|
93
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3124755536
|
| Plan sponsor’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
260593256 |
| Plan administrator’s name |
NORTHWESTERN ORTHOPAEDIC INSTITUTE, LLC |
| Plan administrator’s
address |
680 N. LAKE SHORE DRIVE, SUITE 924, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3124755536 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-02 |
| Name of individual signing |
SHELLEY PETERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
