SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN
|
2016
|
364369359
|
2017-04-13
|
SOUTHWEST SURGERY CENTER LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR, STE A, MOKENA, IL, 604488683
|
Signature of
Role |
Plan administrator |
Date |
2017-04-13 |
Name of individual signing |
CARISSA MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-13 |
Name of individual signing |
CARISSA MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN
|
2015
|
364369359
|
2016-04-11
|
SOUTHWEST SURGERY CENTER LLC
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR, STE A, MOKENA, IL, 604488683
|
Signature of
Role |
Plan administrator |
Date |
2016-04-11 |
Name of individual signing |
CARISSA MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-11 |
Name of individual signing |
CARISSA MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGERY CENTER LLC 401(K) PROFIT SHARING PLAN
|
2014
|
364369359
|
2015-07-14
|
SOUTHWEST SURGERY CENTER LLC
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR, STE A, MOKENA, IL, 604488683
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
MICHEAL CHERNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
MICHEAL CHERNY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
364369359
|
2014-06-30
|
SOUTHWEST SURGERY CENTER LLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR STE A, MOKENA, IL, 604488683
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
CARISSA MURPHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
364369359
|
2013-07-31
|
SOUTHWEST SURGERY CENTER LLC
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR STE A, MOKENA, IL, 604488683
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
SOUTHWEST SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST SURGERY CENTER LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
364369359
|
2014-06-30
|
SOUTHWEST SURGERY CENTER LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621493
|
Sponsor’s telephone number |
7084788889
|
Plan sponsor’s
address |
19110 DARVIN DR STE A, MOKENA, IL, 604488683
|
Plan administrator’s name and address
Administrator’s EIN |
364369359 |
Plan administrator’s name |
SOUTHWEST SURGERY CENTER LLC |
Plan administrator’s
address |
19110 DARVIN DR STE A, MOKENA, IL, 604488683 |
Administrator’s telephone number |
7084788889 |
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
SOUTHWEST SURGERY CENTER LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|