GOLD COAST SURGICENTER, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
271495683
|
2018-07-31
|
GOLD COAST SURGICENTER, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125215500
|
Plan sponsor’s
address |
845 NORTH MICHIGAN AVENUE, SUITE 985W, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
CHRISTINA CROWE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-31 |
Name of individual signing |
CHRISTINA CROWE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD COAST SURGICENTER, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
271495683
|
2017-09-19
|
GOLD COAST SURGICENTER, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125215500
|
Plan sponsor’s
address |
845 NORTH MICHIGAN AVENUE, SUITE 985W, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
CHRISTINA CROWE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-18 |
Name of individual signing |
CHRISTINA CROWE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD COAST SURGICENTER, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
271495683
|
2016-10-14
|
GOLD COAST SURGICENTER, LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125215500
|
Plan sponsor’s
address |
845 NORTH MICHIGAN AVENUE, SUITE 985W, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
CHRISTINA CROWE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD COAST SURGICENTER, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
271495683
|
2015-10-08
|
GOLD COAST SURGICENTER, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125215500
|
Plan sponsor’s
address |
845 NORTH MICHIGAN AVENUE, SUITE 985W, CHICAGO, IL, 60611
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
LISA NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD COAST SURGICENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
271495683
|
2014-07-31
|
GOLD COAST SURGICENTER LLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7087747527
|
Plan sponsor’s
address |
5252 N WESTERN AVE, CHICAGO, IL, 606252448
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
EDWARD ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLD COAST SURGICENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
271495683
|
2013-07-10
|
GOLD COAST SURGICENTER LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7087747527
|
Plan sponsor’s
address |
5252 N WESTERN AVE, CHICAGO, IL, 606252448
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
GOLD COAST SURGICENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|