SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN
|
2012
|
260815552
|
2013-09-24
|
SOUTHERN ILLINOIS PSYCHIATRY LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6185496667
|
Plan sponsor’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959
|
Plan administrator’s name and address
Administrator’s EIN |
260815552 |
Plan administrator’s name |
SOUTHERN ILLINOIS PSYCHIATRY LLC |
Plan administrator’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959 |
Administrator’s telephone number |
6185496667 |
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
LINDSEY GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN
|
2011
|
260815552
|
2012-06-20
|
SOUTHERN ILLINOIS PSYCHIATRY LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6185496667
|
Plan sponsor’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959
|
Plan administrator’s name and address
Administrator’s EIN |
260815552 |
Plan administrator’s name |
SOUTHERN ILLINOIS PSYCHIATRY LLC |
Plan administrator’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959 |
Administrator’s telephone number |
6185496667 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
LINDSEY GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN
|
2010
|
260815552
|
2011-10-17
|
SOUTHERN ILLINOIS PSYCHIATRY LLC
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6185496667
|
Plan sponsor’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959
|
Plan administrator’s name and address
Administrator’s EIN |
260815552 |
Plan administrator’s name |
SOUTHERN ILLINOIS PSYCHIATRY LLC |
Plan administrator’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959 |
Administrator’s telephone number |
6185496667 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
LINDSEY GROSS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SOUTHERN ILLINOIS PSYCHIATRY RETIREMENT PLAN
|
2010
|
260815552
|
2011-10-17
|
SOUTHERN ILLINOIS PSYCHIATRY LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
6185496667
|
Plan sponsor’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959
|
Plan administrator’s name and address
Administrator’s EIN |
260815552 |
Plan administrator’s name |
SOUTHERN ILLINOIS PSYCHIATRY LLC |
Plan administrator’s
address |
112 AIRWAY DRIVE, MARION, IL, 62959 |
Administrator’s telephone number |
6185496667 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
LINDSEY GROSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|