|
SPINE INSTITUTE PSC 401K PROFIT SHARING PLAN
|
2010
|
611181554
|
2011-03-08
|
SPINE INSTITUTE, P.S.C
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025847525
|
| Plan sponsor’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905
|
Plan administrator’s name and address
| Administrator’s EIN |
611181554 |
| Plan administrator’s name |
SPINE INSTITUTE, P.S.C |
| Plan administrator’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905 |
| Administrator’s telephone number |
5025847525 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-08 |
| Name of individual signing |
JOHN R. JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPINE INSTITUTE PSC 401K PROFIT SHARING PLAN
|
2009
|
611181554
|
2010-06-10
|
SPINE INSTITUTE, P.S.C
|
47
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025847525
|
| Plan sponsor’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905
|
Plan administrator’s name and address
| Administrator’s EIN |
611181554 |
| Plan administrator’s name |
SPINE INSTITUTE, P.S.C |
| Plan administrator’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905 |
| Administrator’s telephone number |
5025847525 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-10 |
| Name of individual signing |
JOHN R. JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPINE INSTITUTE PSC 401K PROFIT SHARING PLAN
|
2009
|
611181554
|
2010-06-10
|
SPINE INSTITUTE, P.S.C
|
47
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025847525
|
| Plan sponsor’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905
|
Plan administrator’s name and address
| Administrator’s EIN |
611181554 |
| Plan administrator’s name |
SPINE INSTITUTE, P.S.C |
| Plan administrator’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905 |
| Administrator’s telephone number |
5025847525 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-06-10 |
| Name of individual signing |
JOHN R. JOHNSON, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPINE INSTITUTE PSC 401K PROFIT SHARING PLAN
|
2009
|
611181554
|
2010-05-24
|
SPINE INSTITUTE, P.S.C
|
47
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5025847525
|
| Plan sponsor’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905
|
Plan administrator’s name and address
| Administrator’s EIN |
611181554 |
| Plan administrator’s name |
SPINE INSTITUTE, P.S.C |
| Plan administrator’s
address |
21 E. GRAY STREET, LOUISVILLE, KY, 402023905 |
| Administrator’s telephone number |
5025847525 |
|
