BLUEGRASS NEUROLOGY 401K PLAN
|
2014
|
611380478
|
2015-04-07
|
BLUEGRASS NEUROLOGY PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Signature of
Role |
Plan administrator |
Date |
2015-04-07 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS NEUROLOGY 401K PLAN
|
2013
|
611380478
|
2014-02-28
|
BLUEGRASS NEUROLOGY PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Signature of
Role |
Plan administrator |
Date |
2014-02-28 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS NEUROLOGY 401K PLAN
|
2012
|
611380478
|
2013-06-21
|
BLUEGRASS NEUROLOGY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS NEUROLOGY 401K PLAN
|
2011
|
611380478
|
2012-07-18
|
BLUEGRASS NEUROLOGY PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Plan administrator’s name and address
Administrator’s EIN |
611380478 |
Plan administrator’s name |
BLUEGRASS NEUROLOGY PLLC |
Plan administrator’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217 |
Administrator’s telephone number |
5028027708 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS NEUROLOGY 401K PLAN
|
2010
|
611380478
|
2011-06-16
|
BLUEGRASS NEUROLOGY PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Plan administrator’s name and address
Administrator’s EIN |
611380478 |
Plan administrator’s name |
BLUEGRASS NEUROLOGY PLLC |
Plan administrator’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217 |
Administrator’s telephone number |
5028027708 |
Signature of
Role |
Plan administrator |
Date |
2011-06-16 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS NEUROLOGY 401K PLAN
|
2009
|
611380478
|
2010-07-22
|
BLUEGRASS NEUROLOGY PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028027708
|
Plan sponsor’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217
|
Plan administrator’s name and address
Administrator’s EIN |
611380478 |
Plan administrator’s name |
BLUEGRASS NEUROLOGY PLLC |
Plan administrator’s
address |
1169 EASTERN PKY, LOUISVILLE, KY, 40217 |
Administrator’s telephone number |
5028027708 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
RUKMAIAH BHUPALAM MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|