ELMHURST ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN TRUST
|
2011
|
363766603
|
2012-10-12
|
ELMHURST ANESTHESIOLOGISTS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6305816509
|
Plan sponsor’s
address |
155 EAST BRUSH HILL ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363766603 |
Plan administrator’s name |
ELMHURST ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
155 EAST BRUSH HILL ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6305816509 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
ANDREW BELAVIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN TRUST
|
2010
|
363766603
|
2011-10-17
|
ELMHURST ANESTHESIOLOGISTS, P.C.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6309414535
|
Plan sponsor’s
address |
200 BERTEAU AVENUE, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363766603 |
Plan administrator’s name |
ELMHURST ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
200 BERTEAU AVENUE, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6309414535 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
ANDREW BELAVIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN TRUST
|
2010
|
363766603
|
2012-10-14
|
ELMHURST ANESTHESIOLOGISTS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6305816509
|
Plan sponsor’s
address |
155 EAST BRUSH HILL ROAD, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363766603 |
Plan administrator’s name |
ELMHURST ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
155 EAST BRUSH HILL ROAD, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6305816509 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
ANDREW BELAVIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMHURST ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN TRUST
|
2009
|
363766603
|
2010-10-05
|
ELMHURST ANESTHESIOLOGISTS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6309414535
|
Plan sponsor’s
address |
200 BERTEAU AVENUE, ELMHURST, IL, 60126
|
Plan administrator’s name and address
Administrator’s EIN |
363766603 |
Plan administrator’s name |
ELMHURST ANESTHESIOLOGISTS, P.C. |
Plan administrator’s
address |
200 BERTEAU AVENUE, ELMHURST, IL, 60126 |
Administrator’s telephone number |
6309414535 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
ANDREW BELAVIC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|