HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2020
|
260556577
|
2021-06-14
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2021-06-14 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-14 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2019
|
260556577
|
2020-07-29
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2019
|
260556577
|
2020-10-14
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2018
|
260556577
|
2019-09-24
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
3
|
|
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 |
2019-09-24 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2018
|
260556577
|
2019-07-16
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-16 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2017
|
260556577
|
2018-10-11
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2017
|
260556577
|
2018-07-24
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-24 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC CASH BALANCE PLAN
|
2016
|
260556577
|
2017-10-09
|
HEARTLAND EMERGENCY SPECIALISTS LLC
|
3
|
|
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 |
2017-10-09 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2016
|
260556577
|
2017-07-11
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2017-07-11 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-11 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEARTLAND EMERGENCY SPECIALISTS, LLC 401(K) PROFIT-SHARING PLAN & TRUST
|
2015
|
260556577
|
2016-06-14
|
HEARTLAND EMERGENCY SPECIALISTS, LLC
|
3
|
|
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
|
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-14 |
Name of individual signing |
DOUGLAS WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|