MICHAEL J. PLUNKETT, M.D., S.C. PROFIT SHARING PLAN
|
2012
|
363175363
|
2013-10-05
|
MICHAEL J. PLUNKETT, M.D., S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732755558
|
Plan sponsor’s
address |
3000 DUNDEE ROAD, SUITE 321, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
363175363 |
Plan administrator’s name |
MICHAEL J. PLUNKETT, M.D., S.C. |
Plan administrator’s
address |
3000 DUNDEE ROAD, SUITE 321, NORTHBROOK, IL, 60062 |
Administrator’s telephone number |
7732755558 |
Signature of
Role |
Plan administrator |
Date |
2013-10-05 |
Name of individual signing |
MICHAEL J. PLUNKETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. PLUNKETT, M.D., S.C. PROFIT SHARING PLAN
|
2011
|
363175363
|
2012-10-10
|
MICHAEL J. PLUNKETT, M.D., S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732755558
|
Plan sponsor’s
address |
3000 DUNDEE ROAD, SUITE 321, NORTHBROOK, IL, 60062
|
Plan administrator’s name and address
Administrator’s EIN |
363175363 |
Plan administrator’s name |
MICHAEL J. PLUNKETT, M.D., S.C. |
Plan administrator’s
address |
3000 DUNDEE ROAD, SUITE 321, NORTHBROOK, IL, 60062 |
Administrator’s telephone number |
7732755558 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. PLUNKETT, M.D., S.C. PROFIT SHARING PLAN
|
2010
|
363175363
|
2011-10-13
|
MICHAEL J. PLUNKETT, M.D., S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732755558
|
Plan sponsor’s
address |
5140 NORTH CALIFORNIA, SUITE 405, CHICAGO, IL, 60625
|
Plan administrator’s name and address
Administrator’s EIN |
363175363 |
Plan administrator’s name |
MICHAEL J. PLUNKETT, M.D., S.C. |
Plan administrator’s
address |
5140 NORTH CALIFORNIA, SUITE 405, CHICAGO, IL, 60625 |
Administrator’s telephone number |
7732755558 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. PLUNKETT, M.D., S.C. PROFIT SHARING PLAN
|
2009
|
363175363
|
2010-09-29
|
MICHAEL J. PLUNKETT, M.D., S.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732755558
|
Plan sponsor’s
address |
5140 NORTH CALIFORNIA, SUITE 405, CHICAGO, IL, 60625
|
Plan administrator’s name and address
Administrator’s EIN |
363175363 |
Plan administrator’s name |
MICHAEL J. PLUNKETT, M.D., S.C. |
Plan administrator’s
address |
5140 NORTH CALIFORNIA, SUITE 405, CHICAGO, IL, 60625 |
Administrator’s telephone number |
7732755558 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-29 |
Name of individual signing |
MICHAEL J. PLUNKETT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|