|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2017
|
611372557
|
2018-09-13
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2018-09-13 |
| Name of individual signing |
JUAN G POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2017
|
611372557
|
2018-10-01
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-01 |
| Name of individual signing |
JUAN G POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2016
|
611372557
|
2018-09-13
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2018-09-13 |
| Name of individual signing |
JUAN G POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2016
|
611372557
|
2017-10-16
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
9
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2017-10-16 |
| Name of individual signing |
JUAN POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2015
|
611372557
|
2017-10-16
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2017-10-16 |
| Name of individual signing |
JUAN G POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE CONSULTANTS RETIREMENT SAVINGS PLAN
|
2014
|
611372557
|
2015-10-15
|
INTERNAL MEDICINE CONSULTANTS, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5026294525
|
| Plan sponsor’s
address |
234 EAST GRAY STREET, SUITE 670, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-15 |
| Name of individual signing |
JUAN POLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
