MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2012
|
431905678
|
2013-06-28
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2011
|
431905678
|
2012-05-25
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2011
|
431905678
|
2012-04-30
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2012-04-30 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2011
|
431905678
|
2012-04-24
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2010
|
431905678
|
2011-06-10
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2010
|
431905678
|
2011-03-07
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2011-03-07 |
Name of individual signing |
KELLIE GODIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-AMERICA PSYCH. CONSULTANTS 401(K) PS PLAN
|
2009
|
431905678
|
2010-06-21
|
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6188767515
|
Plan sponsor’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040
|
Plan administrator’s name and address
Administrator’s EIN |
431905678 |
Plan administrator’s name |
MID-AMERICA PSYCHIATRIC CONSULTANTS, LLC |
Plan administrator’s
address |
2120 MADISON AVENUE, SUITE 404, GRANITE CITY, IL, 62040 |
Administrator’s telephone number |
6188767515 |
Signature of
Role |
Plan administrator |
Date |
2010-06-21 |
Name of individual signing |
VALERA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|