DAVID M. SHENKER, M.D., S.C. EMPLOYEES PROFIT SHARING TRUST
|
2012
|
362873742
|
2013-03-26
|
DAVID M. SHENKER, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478668951
|
Plan sponsor’s
address |
1570 ELMWOOD AVE., EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2013-03-26 |
Name of individual signing |
DAVID M. SHENKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID M. SHENKER, M.D., S.C. EMPLOYEES PROFIT SHARING TRUST
|
2011
|
362873742
|
2012-09-07
|
DAVID M. SHENKER, M.D., S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8478668951
|
Plan sponsor’s
address |
1570 ELMWOOD AVE., EVANSTON, IL, 60201
|
Plan administrator’s name and address
Administrator’s EIN |
362873742 |
Plan administrator’s name |
DAVID M. SHENKER, M.D., S.C. |
Plan administrator’s
address |
1570 ELMWOOD AVE., EVANSTON, IL, 60201 |
Administrator’s telephone number |
8478668951 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
DAVID M. SHENKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID M. SHENKER, M.D., S.C. EMPLOYEES PROFIT SHARING TRUST
|
2010
|
362873742
|
2011-05-24
|
DAVID M. SHENKER, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123322226
|
Plan sponsor’s
address |
1431 N. WESTERN AVENUE SUITE 306, CHICAGO, IL, 60622
|
Plan administrator’s name and address
Administrator’s EIN |
362873742 |
Plan administrator’s name |
DAVID M. SHENKER, M.D., S.C. |
Plan administrator’s
address |
1431 N. WESTERN AVENUE SUITE 306, CHICAGO, IL, 60622 |
Administrator’s telephone number |
3123322226 |
Signature of
Role |
Plan administrator |
Date |
2011-05-24 |
Name of individual signing |
DAVID M. SHENKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID M. SHENKER, M.D., S.C. EMPLOYEES PROFIT SHARING TRUST
|
2009
|
362873742
|
2010-09-27
|
DAVID M. SHENKER, M.D., S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3123322226
|
Plan sponsor’s
address |
1431 N. WESTERN AVENUE SUITE 306, CHICAGO, IL, 60622
|
Plan administrator’s name and address
Administrator’s EIN |
362873742 |
Plan administrator’s name |
DAVID M. SHENKER, M.D., S.C. |
Plan administrator’s
address |
1431 N. WESTERN AVENUE SUITE 306, CHICAGO, IL, 60622 |
Administrator’s telephone number |
3123322226 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
DAVID M. SHENKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|