WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S.C. 401K PROFIT SHARING PLAN AND TRUST
|
2012
|
743031533
|
2013-06-21
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087638381
|
Plan sponsor’s
address |
610 S. MAPLE AVE., SUITE 5700, OAK PARK, IL, 603042808
|
Signature of
Role |
Plan administrator |
Date |
2013-06-17 |
Name of individual signing |
NAUSICA D'ALFONSO-LAGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S.C. 401K PROFIT SHARING PLAN AND TRUST
|
2011
|
743031533
|
2012-07-30
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087638381
|
Plan sponsor’s
address |
610 S. MAPLE AVE., SUITE 5700, OAK PARK, IL, 603042808
|
Plan administrator’s name and address
Administrator’s EIN |
743031533 |
Plan administrator’s name |
WEST SUBURBAN INFECTIOUS DISEASE SP |
Plan administrator’s
address |
610 S. MAPLE AVE., SUITE 5700, OAK PARK, IL, 603042808 |
Administrator’s telephone number |
7087638381 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
SUSAN BALTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
743031533
|
2011-05-23
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S C
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087638381
|
Plan sponsor’s
address |
610 S MAPLE AVE SUITE 5700, OAK PARK, IL, 603042808
|
Plan administrator’s name and address
Administrator’s EIN |
743031533 |
Plan administrator’s name |
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS S C |
Plan administrator’s
address |
610 S MAPLE AVE SUITE 5700, OAK PARK, IL, 603042808 |
Administrator’s telephone number |
7087638381 |
Signature of
Role |
Plan administrator |
Date |
2011-05-20 |
Name of individual signing |
SUSAN BALTER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
743031533
|
2010-07-26
|
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS, S C
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7087638381
|
Plan sponsor’s
address |
610 S MAPLE AVE SUITE 5700, OAK PARK, IL, 603042808
|
Plan administrator’s name and address
Administrator’s EIN |
743031533 |
Plan administrator’s name |
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS S C |
Plan administrator’s
address |
610 S MAPLE AVE SUITE 5700, OAK PARK, IL, 603042808 |
Administrator’s telephone number |
7087638381 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
SUSAN BALTER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|