DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2011
|
363525281
|
2013-07-29
|
DENNIS L. CITRIN, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737646538
|
Plan sponsor’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645
|
Plan administrator’s name and address
Administrator’s EIN |
363525281 |
Plan administrator’s name |
DENNIS L. CITRIN, M.D., S.C. |
Plan administrator’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645 |
Administrator’s telephone number |
7737646538 |
Signature of
Role |
Plan administrator |
Date |
2013-07-28 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-28 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
363525281
|
2012-08-10
|
DENNIS L. CITRIN, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737646538
|
Plan sponsor’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645
|
Plan administrator’s name and address
Administrator’s EIN |
363525281 |
Plan administrator’s name |
DENNIS L. CITRIN, M.D., S.C. |
Plan administrator’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645 |
Administrator’s telephone number |
7737646538 |
Signature of
Role |
Plan administrator |
Date |
2012-08-10 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-10 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS L. CITRIN, M.D., S.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
363525281
|
2011-08-12
|
DENNIS L. CITRIN, M.D., S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
7737646538
|
Plan sponsor’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645
|
Plan administrator’s name and address
Administrator’s EIN |
363525281 |
Plan administrator’s name |
DENNIS L. CITRIN, M.D., S.C. |
Plan administrator’s
address |
6706 NORTH MOZART, CHICAGO, IL, 60645 |
Administrator’s telephone number |
7737646538 |
Signature of
Role |
Plan administrator |
Date |
2011-08-12 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-12 |
Name of individual signing |
DENNIS CITRIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|