ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2023
|
203534677
|
2024-10-01
|
ADVANCED UROLOGIC SURGEONS
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
PERSONAL AND CONFIDENTIAL 4109 S. W, MT. VERNON, IL, 628646293
|
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
DAVID KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2022
|
203534677
|
2023-10-03
|
ADVANCED UROLOGIC SURGEONS
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
PERSONAL AND CONFIDENTIAL 4109 S. W, MT. VERNON, IL, 628646293
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
DAVID KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2021
|
203534677
|
2022-07-05
|
ADVANCED UROLOGIC SURGEONS
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2022-07-05 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-05 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2020
|
203534677
|
2021-10-04
|
ADVANCED UROLOGIC SURGEONS
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
DAVID R KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-04 |
Name of individual signing |
DAVID R KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2019
|
203534677
|
2020-10-14
|
ADVANCED UROLOGIC SURGEONS
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
4109 S. WATERTOWER PL., MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
DAVID KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2018
|
203534677
|
2019-10-14
|
ADVANCED UROLOGIC SURGEONS
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
1009 S. 42ND STREET, MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2017
|
203534677
|
2018-07-27
|
ADVANCED UROLOGIC SURGEONS
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
1009 S. 42ND STREET, SUITE 5B, MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
DAVID R KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
DAVID R KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401KPLAN
|
2016
|
203534677
|
2017-07-04
|
ADVANCED UROLOGIC SURGEONS
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
4109 S. WATERTOWER PL., MT. VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2017-07-04 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-04 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2015
|
203534677
|
2016-10-05
|
ADVANCED UROLOGIC SURGEONS
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
604 SEVILLE, MOUNT VERNON, IL, 62864
|
|
ADVANCED UROLOGIC SURGEONS 401(K) PLAN
|
2014
|
203534677
|
2015-10-05
|
ADVANCED UROLOGIC SURGEONS
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6182444060
|
Plan sponsor’s
address |
604 SEVILLE, MOUNT VERNON, IL, 62864
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
DAVID R. KNOWLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|