DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001
|
2015
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371390126
|
2016-03-07
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DECATUR EMERGENCY MEDICAL SERVICES-II, S.C.
|
20
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2016-03-07 |
Name of individual signing |
DENNIS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001
|
2015
|
371390126
|
2016-03-07
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178011003
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Signature of
Role |
Plan administrator |
Date |
2016-03-07 |
Name of individual signing |
DENNIS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001
|
2014
|
371390126
|
2015-08-04
|
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C.
|
16
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2015-08-04 |
Name of individual signing |
DENNIS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001
|
2014
|
371390126
|
2016-03-07
|
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2016-03-07 |
Name of individual signing |
DENNIS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2013
|
371390126
|
2014-09-16
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2 POWERS LANE PLACE, DECATUR, IL, 62522
|
Signature of
Role |
Plan administrator |
Date |
2014-09-16 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. 401(K) PROFIT SHARING PLAN AND TRUST #001
|
2013
|
371390126
|
2014-08-23
|
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
4401 LYNHURST ROAD, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2014-08-23 |
Name of individual signing |
DENNIS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2013
|
371390126
|
2014-09-16
|
DECATUR EMERGENCY MEDICAL SERVICES-II, S.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2 POWERS LANE PLACE, DECATUR, IL, 62522
|
Signature of
Role |
Plan administrator |
Date |
2014-09-16 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2012
|
371390126
|
2013-10-10
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2011
|
371390126
|
2012-09-26
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
371390126 |
Plan administrator’s name |
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. |
Plan administrator’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521 |
Administrator’s telephone number |
2178763000 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2010
|
371390126
|
2011-04-13
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
371390126 |
Plan administrator’s name |
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. |
Plan administrator’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521 |
Administrator’s telephone number |
2178763000 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|