PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. CASH BALANCE PENSION PLAN
|
2012
|
370913641
|
2013-08-26
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8778295500
|
Plan sponsor’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636
|
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
DEVENDRA V. TRIVEDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. CASH BALANCE PENSION PLAN
|
2011
|
370913641
|
2012-06-19
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8778295500
|
Plan sponsor’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636
|
Plan administrator’s name and address
Administrator’s EIN |
370913641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. |
Plan administrator’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636 |
Administrator’s telephone number |
8778295500 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
CHRISTINA SALACINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP 401(K) PROFIT SHARING PLAN
|
2011
|
370913641
|
2012-08-30
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
011
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096836151
|
Plan sponsor’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016
|
Plan administrator’s name and address
Administrator’s EIN |
370913641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S. |
Plan administrator’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016 |
Administrator’s telephone number |
3096836151 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
DR. DEVENDRA TRIVEDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. CASH BALANCE PENSION PLAN
|
2010
|
370913641
|
2011-10-17
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8778295500
|
Plan sponsor’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636
|
Plan administrator’s name and address
Administrator’s EIN |
370913641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. |
Plan administrator’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636 |
Administrator’s telephone number |
8778295500 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
CHRISTINA SALACINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP 401(K) PROFIT SHARING PLAN
|
2010
|
370913641
|
2011-08-01
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
011
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096836151
|
Plan sponsor’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016
|
Plan administrator’s name and address
Administrator’s EIN |
370913641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S. |
Plan administrator’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016 |
Administrator’s telephone number |
3096836151 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
DEVENDRA TRIVEDI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP 401(K) PROFIT SHARING PLAN
|
2009
|
370913641
|
2010-07-27
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
011
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096836151
|
Plan sponsor’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016
|
Plan administrator’s name and address
Administrator’s EIN |
370913641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S. |
Plan administrator’s
address |
5409 NORTH KNOXVILLE, PEORIA, IL, 616145016 |
Administrator’s telephone number |
3096836151 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
DOUGLAS J MC GRADY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C. CASH BALANCE PENSION PLAN
|
2009
|
370912641
|
2010-07-27
|
PEORIA-TAZEWELL PATHOLOGY GROUP, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8778295500
|
Plan sponsor’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636
|
Plan administrator’s name and address
Administrator’s EIN |
370912641 |
Plan administrator’s name |
PEORIA-TAZEWELL PATHOLOGY GROUP, S. |
Plan administrator’s
address |
221 NORTHEAST GLEN OAK AVENUE, PEORIA, IL, 61636 |
Administrator’s telephone number |
8778295500 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
CHRISTINA SALACINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|