AGHA MEDICAL INC PROFIT SHARING 401(K) PLAN
|
2011
|
300046596
|
2012-09-28
|
AGHA MEDICAL INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159412007
|
Plan sponsor’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490
|
Plan administrator’s name and address
Administrator’s EIN |
300046596 |
Plan administrator’s name |
AGHA MEDICAL INC. |
Plan administrator’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490 |
Administrator’s telephone number |
8159412007 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
AHMAD AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-28 |
Name of individual signing |
AHMAD AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AGHA MEDICAL INC PROFIT SHARING 401(K) PLAN
|
2010
|
300046596
|
2011-10-12
|
AGHA MEDICAL INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159412007
|
Plan sponsor’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490
|
Plan administrator’s name and address
Administrator’s EIN |
300046596 |
Plan administrator’s name |
AGHA MEDICAL INC. |
Plan administrator’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490 |
Administrator’s telephone number |
8159412007 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
AHMAD AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
AHMAD AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. AGHA DEFINED BENEFIT PLAN
|
2009
|
300046596
|
2010-10-07
|
AGHA MEDICAL INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159412007
|
Plan sponsor’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490
|
Plan administrator’s name and address
Administrator’s EIN |
300046596 |
Plan administrator’s name |
AGHA MEDICAL INC. |
Plan administrator’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490 |
Administrator’s telephone number |
8159412007 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
AHMAD KASEM AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. AGHA PROFIT SHARING 401(K) PLAN
|
2009
|
300046596
|
2010-10-07
|
AGHA MEDICAL INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159412007
|
Plan sponsor’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490
|
Plan administrator’s name and address
Administrator’s EIN |
300046596 |
Plan administrator’s name |
AGHA MEDICAL INC. |
Plan administrator’s
address |
1603 WOODLAND LANE, BOLINGBROOK, IL, 60490 |
Administrator’s telephone number |
8159412007 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
AHMAD KASEM AGHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|