CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2015
|
362873433
|
2016-06-21
|
CHARLES C. GERLEMAN, D.C., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST STREET W., MILAN, IL, 612642716
|
Signature of
Role |
Plan administrator |
Date |
2016-06-21 |
Name of individual signing |
PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2014
|
362873433
|
2015-09-16
|
CHARLES C. GERLEMAN, D.C., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST STREET W., MILAN, IL, 612642716
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2013
|
362873433
|
2014-07-18
|
CHARLES C. GERLEMAN, D.C., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST ST W, MILAN, IL, 612642716
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
DR. PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2012
|
362873433
|
2013-05-05
|
CHARLES C. GERLEMAN, D.C., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST ST W, MILAN, IL, 612642716
|
Plan administrator’s name and address
Administrator’s EIN |
362873433 |
Plan administrator’s name |
CHARLES C. GERLEMAN, D.C., P.C. |
Plan administrator’s
address |
504 1ST ST W, MILAN, IL, 612642716 |
Administrator’s telephone number |
3097874944 |
Signature of
Role |
Plan administrator |
Date |
2013-05-05 |
Name of individual signing |
DR. PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2011
|
362873433
|
2012-05-24
|
CHARLES C. GERLEMAN, D.C., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Plan sponsor’s
address |
504 1ST ST W, MILAN, IL, 612642716
|
Plan administrator’s name and address
Administrator’s EIN |
362873433 |
Plan administrator’s name |
CHARLES C. GERLEMAN, D.C., P.C. |
Plan administrator’s
address |
504 1ST ST W, MILAN, IL, 612642716 |
Administrator’s telephone number |
3097874944 |
Signature of
Role |
Plan administrator |
Date |
2012-05-24 |
Name of individual signing |
DR. PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2010
|
362873433
|
2011-07-28
|
CHARLES C. GERLEMAN, D.C., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST ST W, MILAN, IL, 612642716
|
Plan administrator’s name and address
Administrator’s EIN |
362873433 |
Plan administrator’s name |
CHARLES C. GERLEMAN, D.C., P.C. |
Plan administrator’s
address |
504 1ST ST W, MILAN, IL, 612642716 |
Administrator’s telephone number |
3097874944 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
DR. PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES C. GERLEMAN, D.C., P.C. EMPLOYEE PROFIT SHARING PLAN
|
2009
|
362873433
|
2010-07-08
|
CHARLES C. GERLEMAN, D.C., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
3097874944
|
Plan sponsor’s
address |
504 1ST ST W, MILAN, IL, 612642716
|
Plan administrator’s name and address
Administrator’s EIN |
362873433 |
Plan administrator’s name |
CHARLES C. GERLEMAN, D.C., P.C. |
Plan administrator’s
address |
504 1ST ST W, MILAN, IL, 612642716 |
Administrator’s telephone number |
3097874944 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
DR. PATRICIA BASALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|