|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC 401(K) PLAN
|
2012
|
611374317
|
2013-07-29
|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706892373
|
| Plan sponsor’s mailing address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
| Plan sponsor’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
611374317 |
| Plan administrator’s name |
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC |
| Plan administrator’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706892373 |
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
13 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-29 |
| Name of individual signing |
LISA BRADSHAW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-29 |
| Name of individual signing |
LISA BRADSHAW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC 401(K) PLAN
|
2010
|
611374317
|
2011-06-22
|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706892373
|
| Plan sponsor’s mailing address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
| Plan sponsor’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
611374317 |
| Plan administrator’s name |
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC |
| Plan administrator’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706892373 |
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-22 |
| Name of individual signing |
LISA BRADSHAW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC 401(K) PLAN
|
2009
|
611374317
|
2010-07-21
|
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706892373
|
| Plan sponsor’s mailing address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
| Plan sponsor’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
611374317 |
| Plan administrator’s name |
KENTUCKIANA HEART & VASCULAR SPECIALISTS, PSC |
| Plan administrator’s
address |
815 E. PARRISH AVENUE, ST 330, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706892373 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
9 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
LISA BRADSHAW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
