| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6302601818
|
| Plan sponsor’s
address |
1604 N. MAIN STREET, WHEATON, IL, 60187
|
Plan administrator’s name and address
| Administrator’s EIN |
363708580 |
| Plan administrator’s name |
ASSOCIATES IN GYNECOLOGY, LTD. |
| Plan administrator’s
address |
1604 N. MAIN STREET, WHEATON, IL, 60187 |
| Administrator’s telephone number |
6302601818 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-08 |
| Name of individual signing |
BARBRA HANNA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-08 |
| Name of individual signing |
BARBRA HANNA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
