OAK BROOK AESTHETIC, P.C. RETIREMENT PLAN
|
2012
|
364078109
|
2013-02-05
|
OAK BROOK AESTHETIC, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309329690
|
Plan sponsor’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181
|
Signature of
Role |
Plan administrator |
Date |
2013-02-04 |
Name of individual signing |
RAYMOND J KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-04 |
Name of individual signing |
RAYMOND J KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK BROOK AESTHETIC, P.C. RETIREMENT PLAN
|
2011
|
364078109
|
2012-03-20
|
OAK BROOK AESTHETIC, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309329690
|
Plan sponsor’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181
|
Plan administrator’s name and address
Administrator’s EIN |
364078109 |
Plan administrator’s name |
OAK BROOK AESTHETIC, P.C. |
Plan administrator’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181 |
Administrator’s telephone number |
6309329690 |
Signature of
Role |
Plan administrator |
Date |
2012-03-20 |
Name of individual signing |
RAYMOND KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-20 |
Name of individual signing |
RAYMOND KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK BROOK AESTHETIC, P.C. RETIREMENT PLAN
|
2010
|
364078109
|
2011-01-25
|
OAK BROOK AESTHETIC, P.C.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309329690
|
Plan sponsor’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181
|
Plan administrator’s name and address
Administrator’s EIN |
364078109 |
Plan administrator’s name |
OAK BROOK AESTHETIC, P.C. |
Plan administrator’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181 |
Administrator’s telephone number |
6309329690 |
Signature of
Role |
Plan administrator |
Date |
2011-01-25 |
Name of individual signing |
RAYMOND KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-25 |
Name of individual signing |
RAYMOND KONIOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK BROOK AESTHETIC, P.C. RETIREMENT PLAN
|
2010
|
364078109
|
2011-01-25
|
OAK BROOK AESTHETIC, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309329690
|
Plan sponsor’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181
|
Plan administrator’s name and address
Administrator’s EIN |
364078109 |
Plan administrator’s name |
OAK BROOK AESTHETIC, P.C. |
Plan administrator’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181 |
Administrator’s telephone number |
6309329690 |
Signature of
Role |
Plan administrator |
Date |
2011-01-25 |
Name of individual signing |
RAYMOND J. KONIOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-25 |
Name of individual signing |
RAYMOND J. KONIOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OAK BROOK AESTHETIC, P.C. RETIREMENT PLAN
|
2009
|
364078109
|
2010-07-09
|
OAK BROOK AESTHETIC, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6309329690
|
Plan sponsor’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181
|
Plan administrator’s name and address
Administrator’s EIN |
364078109 |
Plan administrator’s name |
OAK BROOK AESTHETIC, P.C. |
Plan administrator’s
address |
1 S 280 SUMMIT AVE., SUITE C-4, OAKBROOK TERRACE, IL, 60181 |
Administrator’s telephone number |
6309329690 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
RAYMOND J. KONIOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
RAYMOND J. KONIOR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|