CLINICAL RADIOLOGISTS, S.C. EMPLOYEE BENEFIT PLAN
|
2021
|
370919221
|
2022-10-14
|
CLINICAL RADIOLOGISTS, S.C.
|
100
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621510
|
Sponsor’s telephone number |
2177268096
|
Plan sponsor’s mailing address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Plan sponsor’s
address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Number of participants as of the end of the plan year
Active participants |
60 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. EMPLOYEE BENEFIT PLAN
|
2021
|
370919221
|
2022-10-14
|
CLINICAL RADIOLOGISTS, S.C.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621510
|
Sponsor’s telephone number |
2177268096
|
Plan sponsor’s mailing address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Plan sponsor’s
address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Number of participants as of the end of the plan year
Active participants |
60 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. EMPLOYEE BENEFIT PLAN
|
2021
|
370919221
|
2022-10-14
|
CLINICAL RADIOLOGISTS, S.C.
|
100
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621510
|
Sponsor’s telephone number |
2177268096
|
Plan sponsor’s mailing address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Plan sponsor’s
address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Number of participants as of the end of the plan year
Active participants |
60 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. EMPLOYEE BENEFIT PLAN
|
2020
|
370919221
|
2021-11-22
|
CLINICAL RADIOLOGISTS, S.C.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621510
|
Sponsor’s telephone number |
2177268096
|
Plan sponsor’s mailing address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Plan sponsor’s
address |
3 GINGER CREEK VLG, GLEN CARBON, IL, 620343517
|
Number of participants as of the end of the plan year
Active participants |
99 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-11-22 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-11-22 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. EMPLOYEE BENEFIT PLAN
|
2019
|
370919221
|
2021-01-11
|
CLINICAL RADIOLOGISTS, S.C
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-04-01
|
Business code |
621510
|
Sponsor’s telephone number |
2177268096
|
Plan sponsor’s mailing address |
3050 MONTVALE DR STE A, SPRINGFIELD, IL, 627046924
|
Plan sponsor’s
address |
3050 MONTVALE DR STE A, SPRINGFIELD, IL, 627046924
|
Number of participants as of the end of the plan year
Active participants |
107 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-01-11 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-11 |
Name of individual signing |
KIMBERLY SPARROW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. PROFIT SHARING PLAN
|
2012
|
370919221
|
2013-05-15
|
CLINICAL RADIOLOGISTS, S.C.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2172229302
|
Plan sponsor’s
address |
331 S. 36TH STREET SUITE 2, QUINCY, IL, 62301
|
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
THOMAS C DICKERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. PROFIT SHARING PLAN
|
2011
|
370919221
|
2012-06-15
|
CLINICAL RADIOLOGISTS, S.C.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2172229302
|
Plan sponsor’s
address |
336 S. 36TH STREET SUITE 2, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
370919221 |
Plan administrator’s name |
CLINICAL RADIOLOGISTS, S.C. |
Plan administrator’s
address |
336 S. 36TH STREET SUITE 2, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172229302 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
THOMAS C DICKERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. PROFIT SHARING PLAN
|
2010
|
370919221
|
2011-06-24
|
CLINICAL RADIOLOGISTS, S.C.
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177883245
|
Plan sponsor’s
address |
701 NORTH FIRST STREET #29, SPRINGFIELD, IL, 62781
|
Plan administrator’s name and address
Administrator’s EIN |
370919221 |
Plan administrator’s name |
CLINICAL RADIOLOGISTS, S.C. |
Plan administrator’s
address |
701 NORTH FIRST STREET #29, SPRINGFIELD, IL, 62781 |
Administrator’s telephone number |
2177883245 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
THOMAS C. DICKERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLINICAL RADIOLOGISTS, S.C. PROFIT SHARING PLAN
|
2009
|
370919221
|
2010-07-20
|
CLINICAL RADIOLOGISTS, S.C.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177883245
|
Plan sponsor’s
address |
701 NORTH FIRST STREET, SPRINGFIELD, IL, 62781
|
Plan administrator’s name and address
Administrator’s EIN |
370919221 |
Plan administrator’s name |
CLINICAL RADIOLOGISTS, S.C. |
Plan administrator’s
address |
701 NORTH FIRST STREET, SPRINGFIELD, IL, 62781 |
Administrator’s telephone number |
2177883245 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
THOMAS C. DICKERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|