STOKES INSTITUTE OF UROLOGY, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
470933409
|
2014-09-29
|
STOKES INSTITUTE OF UROLOGY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-13
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 WEST JACKSON, SUITE 400, CARBONDALE, IL, 62901
|
Signature of
Role |
Plan administrator |
Date |
2014-09-29 |
Name of individual signing |
SAM STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-29 |
Name of individual signing |
SAM STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
470933409
|
2014-09-26
|
STOKES INSTITUTE OF UROLOGY, LLC
|
No data
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-13
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 WEST JACKSON, SUITE 400, CARBONDALE, IL, 62901
|
Signature of
Role |
Plan administrator |
Date |
2014-09-26 |
Name of individual signing |
SAM STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-26 |
Name of individual signing |
SAM STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
470933409
|
2013-10-09
|
STOKES INSTITUTE OF UROLOGY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-13
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 WEST JACKSON, SUITE 400, CARBONDALE, IL, 62901
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
CHRISTINA TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
CHRISTINA TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY, LLC 401K PROFIT SHARING PLAN
|
2011
|
470933409
|
2012-10-09
|
STOKES INSTITUTE OF UROLOGY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-13
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 W. JACKSON STREET, SUITE 400, CARBONDALE, IL, 629011474
|
Plan administrator’s name and address
Administrator’s EIN |
470933409 |
Plan administrator’s name |
STOKES INSTITUTE OF UROLOGY, LLC |
Plan administrator’s
address |
305 W. JACKSON STREET, SUITE 400, CARBONDALE, IL, 629011474 |
Administrator’s telephone number |
6183519300 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
SAM STOKES III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
SAM STOKES III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY LLC 401K PROFIT SHARING PLAN
|
2010
|
470933409
|
2011-10-05
|
STOKES INSTITUTE OF UROLOGY LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-13
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 W JACKSON STREET, SUITE 400, CARBONDALE, IL, 629011474
|
Plan administrator’s name and address
Administrator’s EIN |
470933409 |
Plan administrator’s name |
STOKES INSTITUTE OF UROLOGY LLC |
Plan administrator’s
address |
305 W JACKSON STREET, SUITE 400, CARBONDALE, IL, 629011474 |
Administrator’s telephone number |
6183519300 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
MELISSA R CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY LLC 401K PLAN
|
2010
|
470933409
|
2011-06-21
|
STOKES INSTITUTE OF UROLOGY LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-08-18
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 W JACKSON ST STE 400, CARBONDALE, IL, 629011474
|
Plan administrator’s name and address
Administrator’s EIN |
470933409 |
Plan administrator’s name |
STOKES INSTITUTE OF UROLOGY LLC |
Plan administrator’s
address |
305 W JACKSON ST STE 400, CARBONDALE, IL, 629011474 |
Administrator’s telephone number |
6183519300 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
MELISSA CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-21 |
Name of individual signing |
MELISSA CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STOKES INSTITUTE OF UROLOGY LLC 401K PLAN
|
2009
|
470933409
|
2010-06-16
|
STOKES INSTITUTE OF UROLOGY LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-08-18
|
Business code |
621111
|
Sponsor’s telephone number |
6183519300
|
Plan sponsor’s
address |
305 W JACKSON ST STE 102, CARBONDALE, IL, 629011474
|
Plan administrator’s name and address
Administrator’s EIN |
470933409 |
Plan administrator’s name |
STOKES INSTITUTE OF UROLOGY LLC |
Plan administrator’s
address |
305 W JACKSON ST STE 102, CARBONDALE, IL, 629011474 |
Administrator’s telephone number |
6183519300 |
Signature of
Role |
Plan administrator |
Date |
2010-06-16 |
Name of individual signing |
MELISSA CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-16 |
Name of individual signing |
MELISSA CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|