MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2015
|
371252673
|
2016-10-13
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
879 JASONS WAY, FORSYTH, IL, 62535
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2014
|
371252673
|
2015-07-29
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
879 JASONS WAY, FORSYTH, IL, 62535
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2013
|
371252673
|
2014-09-03
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
879 JASONS WAY, FORSYTH, IL, 62535
|
Signature of
Role |
Plan administrator |
Date |
2014-09-03 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2012
|
371252673
|
2013-09-06
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
879 JASONS WAY, FORSYTH, IL, 62535
|
Signature of
Role |
Plan administrator |
Date |
2013-09-06 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-06 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2011
|
371252673
|
2012-10-13
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526
|
Plan administrator’s name and address
Administrator’s EIN |
371252673 |
Plan administrator’s name |
MACON COUNTY MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526 |
Administrator’s telephone number |
2178779775 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2010
|
371252673
|
2011-06-23
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526
|
Plan administrator’s name and address
Administrator’s EIN |
371252673 |
Plan administrator’s name |
MACON COUNTY MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526 |
Administrator’s telephone number |
2178779775 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2010
|
371252673
|
2011-06-23
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526
|
Plan administrator’s name and address
Administrator’s EIN |
371252673 |
Plan administrator’s name |
MACON COUNTY MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526 |
Administrator’s telephone number |
2178779775 |
|
MACON COUNTY MEDICAL ASSOCIATES, P.C. PROFIT SHARING AND 401(K) PLAN
|
2009
|
371252673
|
2010-07-31
|
MACON COUNTY MEDICAL ASSOCIATES, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178779775
|
Plan sponsor’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526
|
Plan administrator’s name and address
Administrator’s EIN |
371252673 |
Plan administrator’s name |
MACON COUNTY MEDICAL ASSOCIATES, P.C. |
Plan administrator’s
address |
2981 NORTH MAIN STREET, DECATUR, IL, 62526 |
Administrator’s telephone number |
2178779775 |
Signature of
Role |
Plan administrator |
Date |
2010-07-31 |
Name of individual signing |
GAURANG PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|