ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2011
|
370889695
|
2012-06-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-16
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2010
|
370889695
|
2011-09-15
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
25
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-09-15 |
Name of individual signing |
DEREK BOOTON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. 401K PROFIT SHARING PLAN
|
2009
|
370889695
|
2010-08-11
|
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2177885495
|
Plan sponsor’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118
|
Plan administrator’s name and address
Administrator’s EIN |
370889695 |
Plan administrator’s name |
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD. |
Plan administrator’s
address |
PO BOX 118, SPRINGFIELD, IL, 627050118 |
Administrator’s telephone number |
2177885495 |
Signature of
Role |
Plan administrator |
Date |
2010-08-11 |
Name of individual signing |
CHRIS FIEDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-11 |
Name of individual signing |
CHRIS FIEDLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|