NORTHWEST SUBURBAN PAIN CENTER RETIREMENT
|
2011
|
208962459
|
2012-09-21
|
NORTHWEST SUBURBAN PAIN ASSOCIATES
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472550900
|
Plan sponsor’s
address |
880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
208962459 |
Plan administrator’s name |
NORTHWEST SUBURBAN PAIN ASSOCIATES |
Plan administrator’s
address |
880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472550900 |
Signature of
Role |
Plan administrator |
Date |
2012-09-21 |
Name of individual signing |
SAMEENA HUSSAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-21 |
Name of individual signing |
SAMEENA HUSSAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT
|
2010
|
208962459
|
2011-07-20
|
NORTHWEST SUBURBAN PAIN ASSOCIATES
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472550900
|
Plan sponsor’s
address |
880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
208962459 |
Plan administrator’s name |
NORTHWEST SUBURBAN PAIN ASSOCIATES |
Plan administrator’s
address |
880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472550900 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
SAMEENA HUSSAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-20 |
Name of individual signing |
MOHAMMAD AHSAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT
|
2009
|
208962459
|
2010-09-02
|
NORTHWEST SUBURBAN PAIN ASSOCIATES
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472550900
|
Plan sponsor’s
address |
880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
208962459 |
Plan administrator’s name |
NORTHWEST SUBURBAN PAIN ASSOCIATES |
Plan administrator’s
address |
880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472550900 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
SAMEENA HUSSAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT
|
2009
|
208962459
|
2010-09-02
|
NORTHWEST SUBURBAN PAIN ASSOCIATES
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472550900
|
Plan sponsor’s
address |
880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
|
Plan administrator’s name and address
Administrator’s EIN |
208962459 |
Plan administrator’s name |
NORTHWEST SUBURBAN PAIN ASSOCIATES |
Plan administrator’s
address |
880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005 |
Administrator’s telephone number |
8472550900 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
SAMEENA HUSSAIN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|