|
CENTRAL KENTUCKY IMAGING, PLLC PROFIT SHARING PLAN
|
2011
|
200508975
|
2012-11-26
|
CENTRAL KENTUCKY IMAGING, PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2702595224
|
| Plan sponsor’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754
|
Plan administrator’s name and address
| Administrator’s EIN |
200508975 |
| Plan administrator’s name |
CENTRAL KENTUCKY IMAGING, PLLC |
| Plan administrator’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754 |
| Administrator’s telephone number |
2702595224 |
Signature of
| Role |
Plan administrator |
| Date |
2012-11-26 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-11-26 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL KENTUCKY IMAGING, PLLC PROFIT SHARING PLAN
|
2011
|
200508975
|
2012-03-08
|
CENTRAL KENTUCKY IMAGING, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2702595224
|
| Plan sponsor’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754
|
Plan administrator’s name and address
| Administrator’s EIN |
200508975 |
| Plan administrator’s name |
CENTRAL KENTUCKY IMAGING, PLLC |
| Plan administrator’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754 |
| Administrator’s telephone number |
2702595224 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-08 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-03-08 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL KENTUCKY IMAGING, PLLC PROFIT SHARING PLAN
|
2010
|
200508975
|
2011-02-04
|
CENTRAL KENTUCKY IMAGING, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2702595224
|
| Plan sponsor’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754
|
Plan administrator’s name and address
| Administrator’s EIN |
200508975 |
| Plan administrator’s name |
CENTRAL KENTUCKY IMAGING, PLLC |
| Plan administrator’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754 |
| Administrator’s telephone number |
2702595224 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-04 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-02-04 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL KENTUCKY IMAGING, PLLC PROFIT SHARING PLAN
|
2009
|
200508975
|
2010-07-16
|
CENTRAL KENTUCKY IMAGING, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2702595224
|
| Plan sponsor’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754
|
Plan administrator’s name and address
| Administrator’s EIN |
200508975 |
| Plan administrator’s name |
CENTRAL KENTUCKY IMAGING, PLLC |
| Plan administrator’s
address |
908 WALLACE AVE., SUITE 102, LEITCHFIELD, KY, 42754 |
| Administrator’s telephone number |
2702595224 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-16 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-16 |
| Name of individual signing |
KENNETH DENNISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
