SUMMIT CLINICAL SERVICES, P.C. 401(K) PLAN
|
2012
|
363943423
|
2013-07-08
|
SUMMIT CLINICAL SERVICES, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6302600606
|
Plan sponsor’s
address |
1761 S. NAPERVILLE ROAD, #200, WHEATON, IL, 60187
|
Signature of
Role |
Plan administrator |
Date |
2013-07-07 |
Name of individual signing |
DEBBIE FABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-07 |
Name of individual signing |
DEBBIE FABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUMMIT CLINICAL SERVICES, P.C. 401(K) PLAN
|
2011
|
363943423
|
2012-06-06
|
SUMMIT CLINICAL SERVICES, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6302600606
|
Plan sponsor’s
address |
1761 S. NAPERVILLE ROAD, #200, WHEATON, IL, 60187
|
Plan administrator’s name and address
Administrator’s EIN |
363943423 |
Plan administrator’s name |
SUMMIT CLINICAL SERVICES, P.C. |
Plan administrator’s
address |
1761 S. NAPERVILLE ROAD, #200, WHEATON, IL, 60187 |
Administrator’s telephone number |
6302600606 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
JEFFREY SANTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-06 |
Name of individual signing |
JEFFREY SANTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|