PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN
|
2014
|
208627466
|
2015-10-20
|
PIASA PAIN CENTER, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6184657177
|
Plan sponsor’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002
|
Signature of
Role |
Plan administrator |
Date |
2015-10-20 |
Name of individual signing |
WYNNDEL BUENGER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN
|
2013
|
208627466
|
2014-07-06
|
PIASA PAIN CENTER, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6184657177
|
Plan sponsor’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002
|
Signature of
Role |
Plan administrator |
Date |
2014-07-06 |
Name of individual signing |
WYNNDEL BUENGER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN
|
2012
|
208627466
|
2013-02-04
|
PIASA PAIN CENTER, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6184657177
|
Plan sponsor’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002
|
Signature of
Role |
Plan administrator |
Date |
2013-02-04 |
Name of individual signing |
WYNNDEL BUENGER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN
|
2009
|
208627466
|
2010-10-15
|
PIASA PAIN CENTER, LLC
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6184657177
|
Plan sponsor’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002
|
Plan administrator’s name and address
Administrator’s EIN |
208627466 |
Plan administrator’s name |
PIASA PAIN CENTER, LLC |
Plan administrator’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002 |
Administrator’s telephone number |
6184657177 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
WYNNDEL BUENGER MD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PIASA PAIN CENTER, L.L.C. 401(K) PROFIT SHARING PLAN
|
2009
|
208627466
|
2010-10-15
|
PIASA PAIN CENTER, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6184657177
|
Plan sponsor’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002
|
Plan administrator’s name and address
Administrator’s EIN |
208627466 |
Plan administrator’s name |
PIASA PAIN CENTER, LLC |
Plan administrator’s
address |
3 PROFESSIONAL DRIVE, ALTON, IL, 62002 |
Administrator’s telephone number |
6184657177 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
WYNNDEL BUENGER MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|