IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2011
|
202687982
|
2012-07-06
|
IRELAND GROVE CENTER FOR SURGERY, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3096640101
|
Plan sponsor’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
202687982 |
Plan administrator’s name |
IRELAND GROVE CENTER FOR SURGERY, LLC |
Plan administrator’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096640101 |
Signature of
Role |
Plan administrator |
Date |
2012-07-06 |
Name of individual signing |
EDWARD KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2010
|
202687982
|
2011-06-01
|
IRELAND GROVE CENTER FOR SURGERY, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3096640101
|
Plan sponsor’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
202687982 |
Plan administrator’s name |
IRELAND GROVE CENTER FOR SURGERY, LLC |
Plan administrator’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096640101 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
EDWARD KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRELAND GROVE CENTER FOR SURGERY, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2009
|
202687982
|
2010-06-21
|
IRELAND GROVE CENTER FOR SURGERY, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
3096640101
|
Plan sponsor’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704
|
Plan administrator’s name and address
Administrator’s EIN |
202687982 |
Plan administrator’s name |
IRELAND GROVE CENTER FOR SURGERY, LLC |
Plan administrator’s
address |
3801 IRELAND GROVE ROAD, BLOOMINGTON, IL, 61704 |
Administrator’s telephone number |
3096640101 |
Signature of
Role |
Plan administrator |
Date |
2010-06-21 |
Name of individual signing |
EDWARD KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|