|
WEST SALEM CLINIC, LTD. PROFIT SHARING PLAN
|
2010
|
371344261
|
2011-02-17
|
WEST SALEM CLINIC, LTD.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6184563727
|
| Plan sponsor’s mailing address |
PO BOX 306, WEST SALEM, IL, 62476
|
| Plan sponsor’s
address |
PO BOX 306, WEST SALEM, IL, 62476
|
Plan administrator’s name and address
| Administrator’s EIN |
371344261 |
| Plan administrator’s name |
WEST SALEM CLINIC, LTD. |
| Plan administrator’s
address |
PO BOX 306, WEST SALEM, IL, 62476 |
| Administrator’s telephone number |
6184563727 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| 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 |
2011-02-17 |
| Name of individual signing |
H.T. GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WEST SALEM CLINIC, LTD. PROFIT SHARING PLAN
|
2009
|
371344261
|
2010-07-22
|
WEST SALEM CLINIC, LTD.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6184563727
|
| Plan sponsor’s mailing address |
PO BOX 306, WEST SALEM, IL, 62476
|
| Plan sponsor’s
address |
PO BOX 306, WEST SALEM, IL, 62476
|
Plan administrator’s name and address
| Administrator’s EIN |
371344261 |
| Plan administrator’s name |
WEST SALEM CLINIC, LTD. |
| Plan administrator’s
address |
PO BOX 306, WEST SALEM, IL, 62476 |
| Administrator’s telephone number |
6184563727 |
Number of participants as of the end of the plan year
| Active participants |
13 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
14 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-22 |
| Name of individual signing |
H.T. GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
