AMS RETIREMENT PLAN
|
2021
|
364026658
|
2022-09-30
|
AG MEDICAL SYSTEMS, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8474583803
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
DENISE HAMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2021
|
364026658
|
2022-10-31
|
AG MEDICAL SYSTEMS, INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8474583803
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2022-10-31 |
Name of individual signing |
DENISE HAMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2018
|
364026658
|
2019-10-04
|
AG MEDICAL SYSTEMS, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8476580400
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-04 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2017
|
364026658
|
2018-10-10
|
AG MEDICAL SYSTEMS, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8476580400
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2016
|
364026658
|
2017-10-13
|
AG MEDICAL SYSTEMS, INC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8476580400
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2015
|
364026658
|
2016-10-12
|
AG MEDICAL SYSTEMS, INC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8476580400
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
DONOVAN GREENE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2014
|
364026658
|
2015-07-01
|
AG MEDICAL SYSTEMS, INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8474583801
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
LORI NOMMENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-01 |
Name of individual signing |
LORI NOMMENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2013
|
364026658
|
2014-05-06
|
AG MEDICAL SYSTEMS, INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8474583801
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2014-05-06 |
Name of individual signing |
LORI NOMMENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-06 |
Name of individual signing |
LORI NOMMENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMS RETIREMENT PLAN
|
2012
|
364026658
|
2013-07-10
|
AG MEDICAL SYSTEMS, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
493100
|
Sponsor’s telephone number |
8474583801
|
Plan sponsor’s
address |
13 PROSPER COURT, LAKE IN THE HILLS, IL, 60156
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
LORI NOMMENSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|