THE PEORIA SURGICAL GROUP LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
370913702
|
2013-07-01
|
PEORIA SURGICAL GROUP LTD
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096765548
|
Plan sponsor’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606
|
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
ANDY CHIOU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE PEORIA SURGICAL GROUP LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
370913702
|
2012-07-25
|
PEORIA SURGICAL GROUP LTD
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096765548
|
Plan sponsor’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606
|
Plan administrator’s name and address
Administrator’s EIN |
370913702 |
Plan administrator’s name |
PEORIA SURGICAL GROUP LTD |
Plan administrator’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606 |
Administrator’s telephone number |
3096765548 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
THOMAS R. ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE PEORIA SURGICAL GROUP LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
370913702
|
2011-10-11
|
PEORIA SURGICAL GROUP LTD
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096765548
|
Plan sponsor’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606
|
Plan administrator’s name and address
Administrator’s EIN |
370913702 |
Plan administrator’s name |
PEORIA SURGICAL GROUP LTD |
Plan administrator’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606 |
Administrator’s telephone number |
3096765548 |
Signature of
Role |
Plan administrator |
Date |
2011-09-27 |
Name of individual signing |
THOMAS R. ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE PEORIA SURGICAL GROUP LTD 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
370913702
|
2010-07-27
|
PEORIA SURGICAL GROUP LTD
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3096765548
|
Plan sponsor’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606
|
Plan administrator’s name and address
Administrator’s EIN |
370913702 |
Plan administrator’s name |
PEORIA SURGICAL GROUP LTD |
Plan administrator’s
address |
1001 MAIN ST, 3RD FLOOR, PEORIA, IL, 61606 |
Administrator’s telephone number |
3096765548 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
THOMAS R. ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|