PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
841100729
|
2013-10-12
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Signature of
Role |
Plan administrator |
Date |
2013-10-05 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-05 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
841100729
|
2012-10-10
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Plan administrator’s name and address
Administrator’s EIN |
841100729 |
Plan administrator’s name |
PLAINS RADIOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 1432, STERLING, CO, 807511432 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
841100729
|
2011-11-23
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Plan administrator’s name and address
Administrator’s EIN |
841100729 |
Plan administrator’s name |
PLAINS RADIOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 1432, STERLING, CO, 807511432 |
Administrator’s telephone number |
9705226386 |
Signature of
Role |
Plan administrator |
Date |
2011-11-23 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-23 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
841100729
|
2011-11-23
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Plan administrator’s name and address
Administrator’s EIN |
841100729 |
Plan administrator’s name |
PLAINS RADIOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 1432, STERLING, CO, 807511432 |
Administrator’s telephone number |
9705226386 |
Signature of
Role |
Plan administrator |
Date |
2011-11-23 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-23 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
841100729
|
2010-07-28
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Plan administrator’s name and address
Administrator’s EIN |
841100729 |
Plan administrator’s name |
PLAINS RADIOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 1432, STERLING, CO, 807511432 |
Administrator’s telephone number |
9705226386 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLAINS RADIOLOGY, P.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
841100729
|
2010-07-27
|
PLAINS RADIOLOGY, P.C.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9705226386
|
Plan sponsor’s
address |
P.O. BOX 1432, STERLING, CO, 807511432
|
Plan administrator’s name and address
Administrator’s EIN |
841100729 |
Plan administrator’s name |
PLAINS RADIOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 1432, STERLING, CO, 807511432 |
Administrator’s telephone number |
9705226386 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
KAY WAGNER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|