LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2012
|
840701635
|
2013-10-07
|
LONGMONT CLINIC, P.C.
|
395
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3036789868
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3036789868 |
Number of participants as of the end of the plan year
Active participants |
274 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
134 |
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 |
411 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
13 |
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2011
|
840701635
|
2012-10-10
|
LONGMONT CLINIC, P.C.
|
396
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3037761234
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037761234 |
Number of participants as of the end of the plan year
Active participants |
274 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
108 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
391 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2010
|
840701635
|
2011-10-11
|
LONGMONT CLINIC, P.C.
|
517
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3037761234
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037761234 |
Number of participants as of the end of the plan year
Active participants |
276 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
109 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
386 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
25 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2010
|
840701635
|
2011-10-11
|
LONGMONT CLINIC, P.C.
|
517
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3037761234
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037761234 |
Number of participants as of the end of the plan year
Active participants |
276 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
109 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
386 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
25 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2009
|
840701635
|
2010-10-08
|
LONGMONT CLINIC, P.C.
|
559
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3037761234
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037761234 |
Number of participants as of the end of the plan year
Active participants |
292 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
219 |
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 |
511 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONGMONT CLINIC P.C. AND LONGMONT SURGERY CENTER, L.L.C. PROFIT SHARING PLAN
|
2009
|
840701635
|
2010-10-08
|
LONGMONT CLINIC, P.C.
|
559
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-01-29
|
Business code |
621111
|
Sponsor’s telephone number |
3037761234
|
Plan sponsor’s mailing address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan sponsor’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501
|
Plan administrator’s name and address
Administrator’s EIN |
840701635 |
Plan administrator’s name |
LONGMONT CLINIC, P.C. |
Plan administrator’s
address |
1925 W. MOUNTAIN VIEW AVENUE, LONGMONT, CO, 80501 |
Administrator’s telephone number |
3037761234 |
Number of participants as of the end of the plan year
Active participants |
292 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
219 |
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 |
511 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
TONY HEATHERTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|