|
AFFILIATED UROLOGY SPECIALISTS, LTD. PROFIT SHARING PLAN
|
2012
|
371295834
|
2013-01-22
|
AFFILIATED UROLOGY SPECIALISTS, LTD.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-04-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
3096557700
|
| Plan sponsor’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603
|
Plan administrator’s name and address
| Administrator’s EIN |
371295834 |
| Plan administrator’s name |
AFFILIATED UROLOGY SPECIALISTS, LTD. |
| Plan administrator’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603 |
| Administrator’s telephone number |
3096557700 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-22 |
| Name of individual signing |
JAMES KENNY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AFFILIATED UROLOGY SPECIALISTS, LTD. PROFIT SHARING PLAN
|
2011
|
371295834
|
2012-07-18
|
AFFILIATED UROLOGY SPECIALISTS, LTD.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-04-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
3096557700
|
| Plan sponsor’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603
|
Plan administrator’s name and address
| Administrator’s EIN |
371295834 |
| Plan administrator’s name |
AFFILIATED UROLOGY SPECIALISTS, LTD. |
| Plan administrator’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603 |
| Administrator’s telephone number |
3096557700 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-18 |
| Name of individual signing |
JAMES KENNY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AFFILIATED UROLOGY SPECIALISTS, LTD. PROFIT SHARING PLAN
|
2010
|
371295834
|
2011-08-04
|
AFFILIATED UROLOGY SPECIALISTS, LTD.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-04-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
3096557700
|
| Plan sponsor’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603
|
Plan administrator’s name and address
| Administrator’s EIN |
371295834 |
| Plan administrator’s name |
AFFILIATED UROLOGY SPECIALISTS, LTD. |
| Plan administrator’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603 |
| Administrator’s telephone number |
3096557700 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-04 |
| Name of individual signing |
JAMES KENNY, JR., MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-04 |
| Name of individual signing |
JAMES KENNY, JR., MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AFFILIATED UROLOGY SPECIALISTS, LTD. PROFIT SHARING PLAN
|
2009
|
371295834
|
2010-08-30
|
AFFILIATED UROLOGY SPECIALISTS, LTD.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1992-04-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
3096557700
|
| Plan sponsor’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603
|
Plan administrator’s name and address
| Administrator’s EIN |
371295834 |
| Plan administrator’s name |
AFFILIATED UROLOGY SPECIALISTS, LTD. |
| Plan administrator’s
address |
200 E. PENNSYLVANIA AVE. SUITE 201, PEORIA, IL, 61603 |
| Administrator’s telephone number |
3096557700 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-30 |
| Name of individual signing |
JAMES KENNY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-30 |
| Name of individual signing |
JAMES KENNY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
