|
NORTHWEST UNITED UROLOGY, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
270388788
|
2012-10-09
|
NORTHWEST UNITED UROLOGY, LLC
|
44
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-07-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8474394343
|
| Plan sponsor’s
address |
2101 S ARLINGTON HEIGHTS RD, SUITE 108, ARLINGTON HEIGHTS, IL, 600054185
|
Plan administrator’s name and address
| Administrator’s EIN |
270388788 |
| Plan administrator’s name |
NORTHWEST UNITED UROLOGY, LLC |
| Plan administrator’s
address |
2101 S ARLINGTON HEIGHTS RD, SUITE 108, ARLINGTON HEIGHTS, IL, 600054185 |
| Administrator’s telephone number |
8474394343 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-09 |
| Name of individual signing |
DANIEL H. PIAZZA, M.D |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NORTHWEST UNITED UROLOGY, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
270388788
|
2011-10-11
|
NORTHWEST UNITED UROLOGY, LLC
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-07-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8474394343
|
| Plan sponsor’s
address |
2101 S ARLINGTON HEIGHTS RD, SUITE 108, ARLINGTON HEIGHTS, IL, 600054185
|
Plan administrator’s name and address
| Administrator’s EIN |
270388788 |
| Plan administrator’s name |
NORTHWEST UNITED UROLOGY, LLC |
| Plan administrator’s
address |
2101 S ARLINGTON HEIGHTS RD, SUITE 108, ARLINGTON HEIGHTS, IL, 600054185 |
| Administrator’s telephone number |
8474394343 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-11 |
| Name of individual signing |
DANIEL H. PIAZZA, M.D |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
