LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2014
|
371269402
|
2015-04-17
|
LAMOINE VALLEY CLINIC, S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Signature of
Role |
Plan administrator |
Date |
2015-04-17 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-17 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2013
|
371269402
|
2014-07-24
|
LAMOINE VALLEY CLINIC, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2012
|
371269402
|
2013-02-13
|
LAMOINE VALLEY CLINIC, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Signature of
Role |
Plan administrator |
Date |
2013-02-13 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-13 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2011
|
371269402
|
2012-07-13
|
LAMOINE VALLEY CLINIC, S.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Plan administrator’s name and address
Administrator’s EIN |
371269402 |
Plan administrator’s name |
LAMOINE VALLEY CLINIC, S.C. |
Plan administrator’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369 |
Administrator’s telephone number |
3098363387 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-13 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2010
|
371269402
|
2011-07-29
|
LAMOINE VALLEY CLINIC, S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Plan administrator’s name and address
Administrator’s EIN |
371269402 |
Plan administrator’s name |
LAMOINE VALLEY CLINIC, S.C. |
Plan administrator’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369 |
Administrator’s telephone number |
3098363387 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-29 |
Name of individual signing |
DAVID GREATHOUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAMOINE VALLEY CLINIC S C 401(K) SIMPLE SAVINGS PLAN
|
2009
|
371269402
|
2010-07-21
|
LAMOINE VALLEY CLINIC, S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3098363387
|
Plan sponsor’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369
|
Plan administrator’s name and address
Administrator’s EIN |
371269402 |
Plan administrator’s name |
LAMOINE VALLEY CLINIC, S.C. |
Plan administrator’s
address |
5 DOCTORS LN, MACOMB, IL, 614553369 |
Administrator’s telephone number |
3098363387 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
DAVID J GREATHOUSE, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
DAVID J GREATHOUSE, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|