|
DANVILLE ANESTHESIA ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2013
|
611274077
|
2014-09-10
|
KHURSHEED A. SIDDIQUI, P.S.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592363726
|
| Plan sponsor’s
address |
P.O. BOX 154, DANVILLE, KY, 40422
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-10 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DANVILLE ANESTHESIA ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2012
|
611274077
|
2013-10-02
|
KHURSHEED A. SIDDIQUI, P.S.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592363726
|
| Plan sponsor’s
address |
P.O. BOX 154, DANVILLE, KY, 40422
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-02 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DANVILLE ANESTHESIA ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2011
|
611274077
|
2012-10-13
|
KHURSHEED A. SIDDIQUI, P.S.C.
|
4
|
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592363726
|
| Plan sponsor’s
address |
P.O. BOX 154, DANVILLE, KY, 40422
|
Plan administrator’s name and address
| Administrator’s EIN |
611274077 |
| Plan administrator’s name |
KHURSHEED A. SIDDIQUI, P.S.C. |
| Plan administrator’s
address |
P.O. BOX 154, DANVILLE, KY, 40422 |
| Administrator’s telephone number |
8592363726 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DANVILLE ANESTHESIA ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2010
|
611274077
|
2011-10-15
|
KHURSHEED A. SIDDIQUI, P.S.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592363726
|
| Plan sponsor’s
address |
P.O. BOX 154, DANVILLE, KY, 40422
|
Plan administrator’s name and address
| Administrator’s EIN |
611274077 |
| Plan administrator’s name |
KHURSHEED A. SIDDIQUI, P.S.C. |
| Plan administrator’s
address |
P.O. BOX 154, DANVILLE, KY, 40422 |
| Administrator’s telephone number |
8592363726 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-15 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MADAR BUX, P.S.C. PROFIT SHARING PLAN
|
2009
|
611274077
|
2010-10-14
|
KHURSHEED A. SIDDIQUI, P.S.C.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592363726
|
| Plan sponsor’s
address |
P.O. BOX 154, DANVILLE, KY, 40423
|
Plan administrator’s name and address
| Administrator’s EIN |
611274077 |
| Plan administrator’s name |
KHURSHEED A. SIDDIQUI, P.S.C. |
| Plan administrator’s
address |
P.O. BOX 154, DANVILLE, KY, 40423 |
| Administrator’s telephone number |
8592363726 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-13 |
| Name of individual signing |
KHURSHEED A. SIDDIQUI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
