|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. PROFIT SHARING PLAN
|
2013
|
611238961
|
2014-10-01
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025836233
|
| Plan sponsor’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-01 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. PROFIT SHARING PLAN
|
2012
|
611238961
|
2013-09-23
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025836233
|
| Plan sponsor’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-23 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-23 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. PROFIT SHARING PLAN
|
2011
|
611238961
|
2012-10-03
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025836233
|
| Plan sponsor’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901
|
Plan administrator’s name and address
| Administrator’s EIN |
611238961 |
| Plan administrator’s name |
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. |
| Plan administrator’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901 |
| Administrator’s telephone number |
5025836233 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-03 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. PROFIT SHARING PLAN
|
2010
|
611238961
|
2011-09-21
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025836233
|
| Plan sponsor’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901
|
Plan administrator’s name and address
| Administrator’s EIN |
611238961 |
| Plan administrator’s name |
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. |
| Plan administrator’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901 |
| Administrator’s telephone number |
5025836233 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-21 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-21 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. PROFIT SHARING PLAN
|
2009
|
611238961
|
2010-10-14
|
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025836233
|
| Plan sponsor’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901
|
Plan administrator’s name and address
| Administrator’s EIN |
611238961 |
| Plan administrator’s name |
UNIVERSITY PEDIATRIC SURGERY ASSOCIATES, P.S.C. |
| Plan administrator’s
address |
234 E. GRAY ST., SUITE 766, LOUISVILLE, KY, 402021901 |
| Administrator’s telephone number |
5025836233 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
PATTI SACRA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
