|
OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN
|
2012
|
203283159
|
2013-09-20
|
OWENSBORO ANESTHESIA SERVICES, PLLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706845005
|
| Plan sponsor’s mailing address |
815 EAST PARRISH AVE, SUITE 460, OWENSBORO, KY, 42303
|
| Plan sponsor’s
address |
815 EAST PARRISH AVE, SUITE 460, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
203283159 |
| Plan administrator’s name |
OWENSBORO ANESTHESIA SERVICES, PLLC |
| Plan administrator’s
address |
815 EAST PARRISH AVE, SUITE 460, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706845005 |
Number of participants as of the end of the plan year
| Active participants |
37 |
| 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 |
37 |
| 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 |
2013-09-20 |
| Name of individual signing |
HOLLY CECIL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN
|
2011
|
203283159
|
2012-07-06
|
OWENSBORO ANESTHESIA SERVICES, PLLC
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706845005
|
| Plan sponsor’s
address |
815 EAST PARRISH AVENUE #460, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
203283159 |
| Plan administrator’s name |
OWENSBORO ANESTHESIA SERVICES, PLLC |
| Plan administrator’s
address |
815 EAST PARRISH AVENUE #460, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706845005 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-06 |
| Name of individual signing |
BILL SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN
|
2010
|
203283159
|
2011-08-09
|
OWENSBORO ANESTHESIA SERVICES, PLLC
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706845005
|
| Plan sponsor’s
address |
815 EAST PARISH AVE #460, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
203283159 |
| Plan administrator’s name |
OWENSBORO ANESTHESIA SERVICES, PLLC |
| Plan administrator’s
address |
815 EAST PARISH AVE #460, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706845005 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-09 |
| Name of individual signing |
BILL SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-09 |
| Name of individual signing |
BILL SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OWENSBORO ANESTHESIA SERVICES, PLLC RETIREMENT PLAN
|
2009
|
203283159
|
2010-08-06
|
OWENSBORO ANESTHESIA SERVICES, PLLC
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2706845005
|
| Plan sponsor’s
address |
815 EAST PARRISH AVE SUITE #460, OWENSBORO, KY, 42303
|
Plan administrator’s name and address
| Administrator’s EIN |
203283159 |
| Plan administrator’s name |
OWENSBORO ANESTHESIA SERVICES, PLLC |
| Plan administrator’s
address |
815 EAST PARRISH AVE SUITE #460, OWENSBORO, KY, 42303 |
| Administrator’s telephone number |
2706845005 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-06 |
| Name of individual signing |
HOLLY CECIL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-06 |
| Name of individual signing |
BILL SMITH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
