DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2012
|
371390126
|
2013-10-10
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2011
|
371390126
|
2012-09-26
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
371390126 |
Plan administrator’s name |
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. |
Plan administrator’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521 |
Administrator’s telephone number |
2178763000 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2010
|
371390126
|
2011-04-13
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
371390126 |
Plan administrator’s name |
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. |
Plan administrator’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521 |
Administrator’s telephone number |
2178763000 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
GABRIEL MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. DEFINED BENEFIT PENSION PLAN & TRUST 003
|
2009
|
371390126
|
2010-08-31
|
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2178763000
|
Plan sponsor’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
371390126 |
Plan administrator’s name |
DECATUR EMERGENCY MEDICAL SERVICES - II, S.C. |
Plan administrator’s
address |
2670 LAKE REUNION PARKWAY, DECATUR, IL, 62521 |
Administrator’s telephone number |
2178763000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-31 |
Name of individual signing |
GABRIEL MUNOZ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-31 |
Name of individual signing |
GABRIEL MUNOZ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|