PLAINFIELD SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
300391104
|
2013-06-03
|
PLAINFIELD SURGERY CENTER LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
8154360911
|
Plan sponsor’s
address |
24600 W 127TH ST BLDG C, PLAINFIELD, IL, 605859530
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
PLAINFIELD SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINFIELD SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
300391104
|
2012-06-26
|
PLAINFIELD SURGERY CENTER LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
8154360911
|
Plan sponsor’s
address |
24600 W 127TH ST BLDG C, PLAINFIELD, IL, 605859530
|
Plan administrator’s name and address
Administrator’s EIN |
300391104 |
Plan administrator’s name |
PLAINFIELD SURGERY CENTER LLC |
Plan administrator’s
address |
24600 W 127TH ST BLDG C, PLAINFIELD, IL, 605859530 |
Administrator’s telephone number |
8154360911 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
PLAINFIELD SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINFIELD SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
300391104
|
2011-05-04
|
PLAINFIELD SURGERY CENTER LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
8154360911
|
Plan sponsor’s
address |
24600 W 127TH STREET, BLDG C, PLAINFIELD, IL, 605859507
|
Plan administrator’s name and address
Administrator’s EIN |
300391104 |
Plan administrator’s name |
PLAINFIELD SURGERY CENTER LLC |
Plan administrator’s
address |
24600 W 127TH STREET, BLDG C, PLAINFIELD, IL, 605859507 |
Administrator’s telephone number |
8154360911 |
Signature of
Role |
Plan administrator |
Date |
2011-05-04 |
Name of individual signing |
PLAINFIELD SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINFIELD SURGERY CENTER LLC
|
2009
|
300391104
|
2010-06-23
|
PLAINFIELD SURGERY CENTER LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
8154360911
|
Plan sponsor’s
address |
24600 W 127TH STREET, BLDG C, PLAINFIELD, IL, 605859507
|
Plan administrator’s name and address
Administrator’s EIN |
300391104 |
Plan administrator’s name |
PLAINFIELD SURGERY CENTER LLC |
Plan administrator’s
address |
24600 W 127TH STREET, BLDG C, PLAINFIELD, IL, 605859507 |
Administrator’s telephone number |
8154360911 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
PLAINFIELD SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-23 |
Name of individual signing |
PLAINFIELD SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|