ANESTHESIA PAIN SERVICES 401(K) PLAN
|
2012
|
352297264
|
2013-07-19
|
ANESTHESIA PAIN SERVICES LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2174645839
|
Plan sponsor’s
address |
1800 E. LAKE SHORE DRIVE, DECATUR, IL, 62521
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
SHANE FANCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA PAIN SERVICES 401(K) PLAN
|
2011
|
352297264
|
2012-07-23
|
ANESTHESIA PAIN SERVICES LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2174645839
|
Plan sponsor’s
address |
1800 E. LAKE SHORE DRIVE, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
352297264 |
Plan administrator’s name |
ANESTHESIA PAIN SERVICES LLC |
Plan administrator’s
address |
1800 E. LAKE SHORE DRIVE, DECATUR, IL, 62521 |
Administrator’s telephone number |
2174645839 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
SHANE FANCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|