HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2012
|
260556577
|
2013-10-10
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2011
|
260556577
|
2012-10-11
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, 2200 EAST WASHINGTON STREET, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS LLC |
Plan administrator’s
address |
P.O. BOX 608, 2200 EAST WASHINGTON STREET, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
RICHARD CASTILLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2011
|
260556577
|
2012-07-24
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
RICHARD CASTILLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2010
|
260556577
|
2011-09-08
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2011-09-08 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2010
|
260556577
|
2011-07-24
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2011-07-24 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2009
|
260556577
|
2010-10-11
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2009
|
260556577
|
2010-06-23
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2009
|
260556577
|
2010-10-06
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2009
|
260556577
|
2010-10-07
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2009
|
260556577
|
2010-07-28
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8884370911
|
Plan sponsor’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608
|
Plan administrator’s name and address
Administrator’s EIN |
260556577 |
Plan administrator’s name |
HEARTLAND EMERGENCY SPECIALISTS, LLC |
Plan administrator’s
address |
P.O. BOX 608, BLOOMINGTON, IL, 617020608 |
Administrator’s telephone number |
8884370911 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
THOMAS NIELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|