CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES 401(K) PLAN
|
2011
|
371392378
|
2012-07-18
|
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
621330
|
Sponsor’s telephone number |
3098620064
|
Plan sponsor’s
address |
405 KAYS DR., NORMAL, IL, 61761
|
Plan administrator’s name and address
Administrator’s EIN |
371392378 |
Plan administrator’s name |
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
Plan administrator’s
address |
405 KAYS DR., NORMAL, IL, 61761 |
Administrator’s telephone number |
3098620064 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
RAJU PATURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES 401(K) PLAN
|
2010
|
371392378
|
2011-09-09
|
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
621330
|
Sponsor’s telephone number |
3098620064
|
Plan sponsor’s
address |
405 KAYS DR., NORMAL, IL, 61761
|
Plan administrator’s name and address
Administrator’s EIN |
371392378 |
Plan administrator’s name |
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
Plan administrator’s
address |
405 KAYS DR., NORMAL, IL, 61761 |
Administrator’s telephone number |
3098620064 |
Signature of
Role |
Plan administrator |
Date |
2011-09-09 |
Name of individual signing |
RAJU N. PATURI. M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES 401(K) PLAN
|
2009
|
371392378
|
2010-10-04
|
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
621330
|
Sponsor’s telephone number |
3098620064
|
Plan sponsor’s
address |
405 KAYS DR., NORMAL, IL, 61761
|
Plan administrator’s name and address
Administrator’s EIN |
371392378 |
Plan administrator’s name |
CENTRAL ILLINOIS PSYCHIATRIC ASSOCIATES |
Plan administrator’s
address |
405 KAYS DR., NORMAL, IL, 61761 |
Administrator’s telephone number |
3098620064 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
RAJU PATURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
RAJU PATURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|