DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2013
|
800033465
|
2014-10-02
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2012
|
800033465
|
2014-10-03
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
MICHELE ULTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2012
|
800033465
|
2013-09-25
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
CAROL WILLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2011
|
800033465
|
2012-09-14
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Plan administrator’s name and address
Administrator’s EIN |
800033465 |
Plan administrator’s name |
DEERPATH ORTHOPEDIC SURGICAL CENTER |
Plan administrator’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450 |
Administrator’s telephone number |
8159424875 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
JARED HICKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DEERPATH ORTHOPEDIC SURGICAL CENTER 401(K) PLAN FOR OFFICE EMPLOYEES
|
2010
|
800033465
|
2011-06-01
|
DEERPATH ORTHOPEDIC SURGICAL CENTER
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8159424875
|
Plan sponsor’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450
|
Plan administrator’s name and address
Administrator’s EIN |
800033465 |
Plan administrator’s name |
DEERPATH ORTHOPEDIC SURGICAL CENTER |
Plan administrator’s
address |
1051 WEST US ROUTE 6, MORRIS, IL, 60450 |
Administrator’s telephone number |
8159424875 |
Signature of
Role |
Plan administrator |
Date |
2011-05-31 |
Name of individual signing |
JARED HICKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|