ADVANCED IMAGING CENTER LP 401K PLAN AND TRUST
|
2011
|
363806693
|
2012-10-15
|
ADVANCED IMAGING
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8157598124
|
Plan sponsor’s mailing address |
213 N FRONT STREET, MCHENRY, IL, 60050
|
Plan sponsor’s
address |
213 N FRONT STREET, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
363806693 |
Plan administrator’s name |
ADVANCED IMAGING |
Plan administrator’s
address |
213 N FRONT STREET, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8157598124 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
ROBERT ROSENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
ROSA I. JESCHKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED IMAGING CENTER LP 401K PLAN AND TRUST
|
2011
|
363806693
|
2012-02-03
|
ADVANCED IMAGING
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8157598124
|
Plan sponsor’s mailing address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan sponsor’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
363806693 |
Plan administrator’s name |
ADVANCED IMAGING |
Plan administrator’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8157598124 |
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-02-03 |
Name of individual signing |
ROBERT ROSENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-03 |
Name of individual signing |
ROSA I. JESCHKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED IMAGING CENTER LP 401K PLAN AND TRUST
|
2010
|
363806693
|
2011-10-14
|
ADVANCED IMAGING
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8157598124
|
Plan sponsor’s mailing address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan sponsor’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
363806693 |
Plan administrator’s name |
ADVANCED IMAGING |
Plan administrator’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8157598124 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
ROSA I. JESCHKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
ROBERT ROSENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED IMAGING CENTER LP 401K PLAN AND TRUST
|
2009
|
363806693
|
2012-01-27
|
ADVANCED IMAGING
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8157598124
|
Plan sponsor’s mailing address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan sponsor’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
363806693 |
Plan administrator’s name |
ADVANCED IMAGING |
Plan administrator’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8157598124 |
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-01-27 |
Name of individual signing |
ROBERT ROSENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-27 |
Name of individual signing |
ROSA I. JESCHKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED IMAGING CENTER LP 401K PLAN AND TRUST
|
2009
|
363806693
|
2011-10-14
|
ADVANCED IMAGING
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8157598124
|
Plan sponsor’s mailing address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan sponsor’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050
|
Plan administrator’s name and address
Administrator’s EIN |
363806693 |
Plan administrator’s name |
ADVANCED IMAGING |
Plan administrator’s
address |
4201 MEDICAL CENTER DRIVE, MCHENRY, IL, 60050 |
Administrator’s telephone number |
8157598124 |
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
ROSA I. JESCHKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
ROBERT ROSENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|