SUMAC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2010
|
363712413
|
2011-06-15
|
SUMAC SURGICAL ASSOCIATES, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472973347
|
Plan sponsor’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
363712413 |
Plan administrator’s name |
SUMAC SURGICAL ASSOCIATES, LTD. |
Plan administrator’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8472973347 |
Signature of
Role |
Plan administrator |
Date |
2011-06-15 |
Name of individual signing |
CHARLIE CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-15 |
Name of individual signing |
CHARLIE CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMAC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2010
|
363712413
|
2011-06-15
|
SUMAC SURGICAL ASSOCIATES, LTD.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472973347
|
Plan sponsor’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
363712413 |
Plan administrator’s name |
SUMAC SURGICAL ASSOCIATES, LTD. |
Plan administrator’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8472973347 |
Signature of
Role |
Plan administrator |
Date |
2011-06-15 |
Name of individual signing |
CHARLIE CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-15 |
Name of individual signing |
CHARLIE CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMAC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2009
|
363712413
|
2010-09-09
|
SUMAC SURGICAL ASSOCIATES, LTD.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472973347
|
Plan sponsor’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
363712413 |
Plan administrator’s name |
SUMAC SURGICAL ASSOCIATES, LTD. |
Plan administrator’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8472973347 |
Signature of
Role |
Plan administrator |
Date |
2010-09-09 |
Name of individual signing |
KHUSHROO PATEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-09 |
Name of individual signing |
KHUSHROO PATEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SUMAC SURGICAL ASSOCIATES, LTD. PROFIT SHARING PLAN AND TRUST
|
2009
|
363712413
|
2010-09-18
|
SUMAC SURGICAL ASSOCIATES, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472973347
|
Plan sponsor’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
363712413 |
Plan administrator’s name |
SUMAC SURGICAL ASSOCIATES, LTD. |
Plan administrator’s
address |
9301 GOLF ROAD, SUITE 204, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8472973347 |
Signature of
Role |
Plan administrator |
Date |
2010-09-18 |
Name of individual signing |
KHUSHROO PATEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-18 |
Name of individual signing |
KHUSHROO PATEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|