NEIL D. POLLOCK, M.D., S.C. AGE-BASED PROFIT SHARING PLAN
|
2012
|
363678248
|
2013-03-01
|
NEIL D. POLLOCK, M.D., S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473677470
|
Plan sponsor’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 600483100
|
Signature of
Role |
Plan administrator |
Date |
2013-03-01 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-01 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEIL D. POLLOCK, M.D., S.C. AGE-BASED PROFIT SHARING PLAN
|
2011
|
363678248
|
2012-02-27
|
NEIL D. POLLOCK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473677470
|
Plan sponsor’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 600483100
|
Plan administrator’s name and address
Administrator’s EIN |
363678248 |
Plan administrator’s name |
NEIL D. POLLOCK, M.D., S.C. |
Plan administrator’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 600483100 |
Administrator’s telephone number |
8473677470 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-27 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEIL D. POLLOCK, M.D., S.C. AGE-BASED PROFIT SHARING PLAN
|
2010
|
363678248
|
2011-03-29
|
NEIL D. POLLOCK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473677470
|
Plan sponsor’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 600483100
|
Plan administrator’s name and address
Administrator’s EIN |
363678248 |
Plan administrator’s name |
NEIL D. POLLOCK, M.D., S.C. |
Plan administrator’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 600483100 |
Administrator’s telephone number |
8473677470 |
Signature of
Role |
Plan administrator |
Date |
2011-03-29 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-29 |
Name of individual signing |
NEIL POLLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEIL D. POLLOCK, M.D., S.C. AGE-BASED PROFIT SHARING PLAN
|
2009
|
363678248
|
2010-05-24
|
NEIL D. POLLOCK, M.D., S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473677470
|
Plan sponsor’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 60048
|
Plan administrator’s name and address
Administrator’s EIN |
363678248 |
Plan administrator’s name |
NEIL D. POLLOCK, M.D., S.C. |
Plan administrator’s
address |
890 GARFIELD AVENUE, SUITE #106, LIBERTYVILLE, IL, 60048 |
Administrator’s telephone number |
8473677470 |
Signature of
Role |
Plan administrator |
Date |
2010-05-24 |
Name of individual signing |
LOIS BROWNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|