ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST
|
2023
|
475109066
|
2024-05-29
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1732 CENTRAL ST, EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2024-05-29 |
Name of individual signing |
KATHLEEN M QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-29 |
Name of individual signing |
KATHLEEN M QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K)
|
2023
|
475109066
|
2024-07-30
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1732 CENTRAL ST, EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-29 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST
|
2022
|
475109066
|
2023-09-28
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1732 CENTRAL ST, EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-28 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K)
|
2022
|
475109066
|
2023-09-28
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1732 CENTRAL ST, EVANSTON, IL, 60201
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-28 |
Name of individual signing |
KATHY QUINLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE CASH BALANCE PLAN & TRUST
|
2021
|
475109066
|
2022-07-21
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1100 CENTRAL AVE., SUITE H, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
VLADISLAV HALAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-21 |
Name of individual signing |
VLADISLAV HALAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K)
|
2021
|
475109066
|
2022-07-21
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1100 CENTRAL AVE., SUITE H, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
VLADISLAV HALAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-21 |
Name of individual signing |
VLADISLAV HALAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K)
|
2020
|
475109066
|
2022-02-22
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1100 CENTRAL AVE, STE H, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2022-02-22 |
Name of individual signing |
ANGELICA FLORES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENDOSCOPY CENTER OF THE NORTH SHORE 401(K)
|
2019
|
475109066
|
2021-02-18
|
ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472561855
|
Plan sponsor’s
address |
1100 CENTRAL AVE, STE H, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2021-02-18 |
Name of individual signing |
ANGELICA FLORES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-18 |
Name of individual signing |
ANGELICA FLORES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|