MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. PROFIT SHARING PLAN
|
2012
|
371165606
|
2013-08-23
|
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-03
|
Business code |
621111
|
Sponsor’s telephone number |
6186243368
|
Plan
sponsor’s DBA name |
MENT
|
Plan sponsor’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704
|
Plan administrator’s name and address
Administrator’s EIN |
371165606 |
Plan administrator’s name |
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. |
Plan administrator’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704 |
Administrator’s telephone number |
6186243368 |
Signature of
Role |
Plan administrator |
Date |
2013-08-23 |
Name of individual signing |
WILLIAM CRUZEN, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. PROFIT SHARING PLAN
|
2011
|
371165606
|
2012-07-25
|
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-03
|
Business code |
621111
|
Sponsor’s telephone number |
6186243368
|
Plan
sponsor’s DBA name |
MENT
|
Plan sponsor’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704
|
Plan administrator’s name and address
Administrator’s EIN |
371165606 |
Plan administrator’s name |
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. |
Plan administrator’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704 |
Administrator’s telephone number |
6186243368 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
WILLIAM CRUZEN, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. PROFIT SHARING PLAN
|
2010
|
371165606
|
2011-07-25
|
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-03
|
Business code |
621111
|
Sponsor’s telephone number |
6186243368
|
Plan sponsor’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704
|
Plan administrator’s name and address
Administrator’s EIN |
371165606 |
Plan administrator’s name |
MIDWEST EMERGENCY DEPARTMENT SERVICES, INC. |
Plan administrator’s
address |
320 E. HIGHWAY 50, O FALLON, IL, 622692704 |
Administrator’s telephone number |
6186243368 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
WILLIAM CRUZEN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|