|
MIDWEST EAR, NOSE & THROAT, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2011
|
363913106
|
2012-10-15
|
MIDWEST EAR, NOSE & THROAT, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3129887777
|
| Plan sponsor’s
address |
25 EAST CEDAR, CHICAGO, IL, 606111109
|
Plan administrator’s name and address
| Administrator’s EIN |
363913106 |
| Plan administrator’s name |
MIDWEST EAR, NOSE & THROAT, LTD. |
| Plan administrator’s
address |
25 EAST CEDAR, CHICAGO, IL, 606111109 |
| Administrator’s telephone number |
3129887777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
GORDON J. SIEGEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-15 |
| Name of individual signing |
GORDON J. SIEGEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDWEST EAR, NOSE & THROAT, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2010
|
363913106
|
2011-06-21
|
MIDWEST EAR, NOSE & THROAT, LTD.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3129887777
|
| Plan sponsor’s
address |
25 EAST CEDAR, CHICAGO, IL, 606111109
|
Plan administrator’s name and address
| Administrator’s EIN |
363913106 |
| Plan administrator’s name |
MIDWEST EAR, NOSE & THROAT, LTD. |
| Plan administrator’s
address |
25 EAST CEDAR, CHICAGO, IL, 606111109 |
| Administrator’s telephone number |
3129887777 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-21 |
| Name of individual signing |
GORDON J. SIEGEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-21 |
| Name of individual signing |
GORDON J. SIEGEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDWEST EAR, NOSE & THROAT, LTD. EMPLOYEES PROFIT SHARING PLAN
|
2009
|
363913106
|
2010-07-13
|
MIDWEST EAR, NOSE & THROAT, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3129887777
|
| Plan sponsor’s
address |
25 EAST CEDAR, CHICAGO, IL, 60611
|
Plan administrator’s name and address
| Administrator’s EIN |
363913106 |
| Plan administrator’s name |
MIDWEST EAR, NOSE & THROAT, LTD. |
| Plan administrator’s
address |
25 EAST CEDAR, CHICAGO, IL, 60611 |
| Administrator’s telephone number |
3129887777 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-13 |
| Name of individual signing |
LOIS BROWNING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
