YOUSEF DARWISH, M.D. P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
364301250
|
2013-09-20
|
YOUSEF DARWISH, M.D. P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2013-09-20 |
Name of individual signing |
SUHAIR ABDEL-JALIL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. DEFINED BENEFIT PENSION PLAN
|
2011
|
364301250
|
2012-05-01
|
YOUSEF DARWISH, M.D. P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2012-05-01 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
364301250
|
2012-05-01
|
YOUSEF DARWISH, M.D. P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2012-05-01 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
364301250
|
2011-07-19
|
YOUSEF DARWISH, M.D. P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
364301250
|
2011-07-19
|
YOUSEF DARWISH, M.D. P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN STREET/EAST TOWER, SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
364301250
|
2010-07-19
|
YOUSEF DARWISH, M.D. P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN ST EAST TOWER SUITE 163, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
YOUSEF DARWISH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-16 |
Name of individual signing |
YOUSEF DARWISH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
YOUSEF DARWISH, M.D. P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
364301250
|
2010-07-21
|
YOUSEF DARWISH, M.D. P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8473163880
|
Plan sponsor’s
address |
800 AUSTIN STREET, EVANSTON, IL, 60202
|
Plan administrator’s name and address
Administrator’s EIN |
364301250 |
Plan administrator’s name |
YOUSEF DARWISH, M.D. P.C. |
Plan administrator’s
address |
800 AUSTIN STREET, EVANSTON, IL, 60202 |
Administrator’s telephone number |
8473163880 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
YOUSEF DARWISH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|