|
PATIENT CHOICE CARDIOLOGY, P.S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
204320523
|
2011-01-31
|
PATIENT CHOICE CARDIOLOGY, P.S.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8593313353
|
| Plan sponsor’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017
|
Plan administrator’s name and address
| Administrator’s EIN |
204320523 |
| Plan administrator’s name |
PATIENT CHOICE CARDIOLOGY, P.S.C. |
| Plan administrator’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017 |
| Administrator’s telephone number |
8593313353 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-28 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-28 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PATIENT CHOICE CARDIOLOGY, P.S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
204320523
|
2011-10-26
|
PATIENT CHOICE CARDIOLOGY, P.S.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8593313353
|
| Plan sponsor’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017
|
Plan administrator’s name and address
| Administrator’s EIN |
204320523 |
| Plan administrator’s name |
PATIENT CHOICE CARDIOLOGY, P.S.C. |
| Plan administrator’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017 |
| Administrator’s telephone number |
8593313353 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-26 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-26 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PATIENT CHOICE CARDIOLOGY, P.S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
204320523
|
2010-06-30
|
PATIENT CHOICE CARDIOLOGY, P.S.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8593313353
|
| Plan sponsor’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017
|
Plan administrator’s name and address
| Administrator’s EIN |
204320523 |
| Plan administrator’s name |
PATIENT CHOICE CARDIOLOGY, P.S.C. |
| Plan administrator’s
address |
20 MEDICAL VILLAGE DRIVE, SUITE 177, EDGEWOOD, KY, 41017 |
| Administrator’s telephone number |
8593313353 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-30 |
| Name of individual signing |
JERRY J. LIERL, M.D., FACC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
