|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC DEFINED BENEFIT PENSION PLAN
|
2010
|
611368239
|
2011-12-12
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6064371008
|
| Plan sponsor’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501
|
Plan administrator’s name and address
| Administrator’s EIN |
611368239 |
| Plan administrator’s name |
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC |
| Plan administrator’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501 |
| Administrator’s telephone number |
6064371008 |
Signature of
| Role |
Plan administrator |
| Date |
2011-12-12 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-12-12 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC DEFINED BENEFIT PENSION PLAN
|
2010
|
611368239
|
2011-07-14
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC
|
2
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6064371008
|
| Plan sponsor’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501
|
Plan administrator’s name and address
| Administrator’s EIN |
611368239 |
| Plan administrator’s name |
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC |
| Plan administrator’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501 |
| Administrator’s telephone number |
6064371008 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-14 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-14 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC DEFINED BENEFIT PENSION PLAN
|
2010
|
611368239
|
2011-07-14
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6064371008
|
| Plan sponsor’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501
|
Plan administrator’s name and address
| Administrator’s EIN |
611368239 |
| Plan administrator’s name |
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC |
| Plan administrator’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501 |
| Administrator’s telephone number |
6064371008 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-14 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-14 |
| Name of individual signing |
R. V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC DEFINED BENEFIT PENSION PLAN
|
2009
|
611368239
|
2010-08-20
|
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6064371008
|
| Plan sponsor’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501
|
Plan administrator’s name and address
| Administrator’s EIN |
611368239 |
| Plan administrator’s name |
EAST KENTUCKY PULMONARY ASSOCIATES, PLLC |
| Plan administrator’s
address |
387 TOWN MOUNTAIN ROAD-SUITE 108, PIKEVILLE, KY, 41501 |
| Administrator’s telephone number |
6064371008 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-20 |
| Name of individual signing |
R.V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-20 |
| Name of individual signing |
R.V. METTU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
