RENUKA H. BHATT, M.D., S.C. CASH BALANCE PLAN
|
2012
|
364030589
|
2013-05-23
|
RENUKA H. BHATT, M.D., S.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8156765310
|
Plan sponsor’s
address |
504 AMBRIANCE DRIVE, BURR RIDGE, IL, 60527
|
Signature of
Role |
Plan administrator |
Date |
2013-05-23 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RENUKA H. BHATT, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2011
|
364030589
|
2012-07-23
|
RENUKA H. BHATT, M.D., S.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8156765310
|
Plan sponsor’s
address |
504 AMBRIANCE DRIVE, BURR RIDGE, IL, 60527
|
Plan administrator’s name and address
Administrator’s EIN |
364030589 |
Plan administrator’s name |
RENUKA H. BHATT, M.D., S.C. |
Plan administrator’s
address |
504 AMBRIANCE DRIVE, BURR RIDGE, IL, 60527 |
Administrator’s telephone number |
8156765310 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RENUKA H. BHATT, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364030589
|
2011-07-11
|
RENUKA H. BHATT, M.D., S.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8156765310
|
Plan sponsor’s
address |
504 AMBRIANCE DRIVE, BURR RIDGE, IL, 60527
|
Plan administrator’s name and address
Administrator’s EIN |
364030589 |
Plan administrator’s name |
RENUKA H. BHATT, M.D., S.C. |
Plan administrator’s
address |
504 AMBRIANCE DRIVE, BURR RIDGE, IL, 60527 |
Administrator’s telephone number |
8156765310 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-11 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RENUKA H. BHATT, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364030589
|
2010-07-13
|
RENUKA H. BHATT, M.D., S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8156765310
|
Plan sponsor’s
address |
12357 W. MACKINAC ROAD, HOMER GLEN, IL, 60491
|
Plan administrator’s name and address
Administrator’s EIN |
364030589 |
Plan administrator’s name |
RENUKA H. BHATT, M.D., S.C. |
Plan administrator’s
address |
12357 W. MACKINAC ROAD, HOMER GLEN, IL, 60491 |
Administrator’s telephone number |
8156765310 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
RENUKA H. BHATT, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RENUKA H. BHATT, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364030589
|
2010-07-08
|
RENUKA H. BHATT, M.D., S.C.
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8156765310
|
Plan sponsor’s
address |
12357 W. MACKINAC ROAD, HOMER GLEN, IL, 60491
|
Plan administrator’s name and address
Plan administrator’s name |
RENUKA H. BHATT, M.D., S.C. |
|