PURIGHALLA NEUROSCIENCE&SPINE INSTITUTE 401K PLAN
|
2023
|
200884391
|
2024-10-14
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35 TH AVE, UNIT 1, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-14 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN
|
2022
|
200884391
|
2023-12-21
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35TH AVENUE UNIT 1, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2023-12-21 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN
|
2022
|
200884391
|
2023-07-18
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35TH AVENUE UNIT 1, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2023-07-18 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-18 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K)
|
2021
|
200884391
|
2022-10-17
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
200884391 |
Plan administrator’s name |
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE |
Plan administrator’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265 |
Administrator’s telephone number |
3095173775 |
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN
|
2021
|
200884391
|
2022-07-27
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35TH AVENUE UNIT 1, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-26 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC DEFINED BENEFIT PENSION PLAN
|
2020
|
200884391
|
2021-07-28
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35TH AVENUE UNIT 1, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K)
|
2020
|
200884391
|
2021-10-14
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
200884391 |
Plan administrator’s name |
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE |
Plan administrator’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265 |
Administrator’s telephone number |
3095173775 |
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRESP PLAN FOR PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
2019
|
200884391
|
2020-10-15
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9496536711
|
Plan sponsor’s
address |
616 35TH AVE, UNIT 1, MOLINE, IL, 61265
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K)
|
2019
|
200884391
|
2020-10-29
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
200884391 |
Plan administrator’s name |
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE |
Plan administrator’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265 |
Administrator’s telephone number |
3095173775 |
Signature of
Role |
Plan administrator |
Date |
2020-10-29 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE 401(K)
|
2019
|
200884391
|
2020-10-14
|
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3095173775
|
Plan sponsor’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265
|
Plan administrator’s name and address
Administrator’s EIN |
200884391 |
Plan administrator’s name |
PURIGHALLA NEUROSCIENCE & SPINE INSTITUTE |
Plan administrator’s
address |
616 35 TH AVENUE, UNIT 1, MOLINE, IL, 61265 |
Administrator’s telephone number |
3095173775 |
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
GOWRI PURIGHALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|