BLUEGRASS INTERNAL MEDICINE GROUP, PLLC 401K RETIREMENT SAVINGS PLAN
|
2013
|
260493696
|
2014-05-29
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8592771570
|
Plan sponsor’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755
|
Plan administrator’s name and address
Administrator’s EIN |
260493696 |
Plan administrator’s name |
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC |
Plan administrator’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755 |
Administrator’s telephone number |
8592771570 |
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC 401K RETIREMENT SAVINGS PLAN
|
2012
|
260493696
|
2013-05-22
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8592771570
|
Plan sponsor’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755
|
Plan administrator’s name and address
Administrator’s EIN |
260493696 |
Plan administrator’s name |
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC |
Plan administrator’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755 |
Administrator’s telephone number |
8592771570 |
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC 401K RETIREMENT SAVINGS PLAN
|
2011
|
260493696
|
2012-09-27
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8592771570
|
Plan sponsor’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755
|
Plan administrator’s name and address
Administrator’s EIN |
260493696 |
Plan administrator’s name |
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC |
Plan administrator’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755 |
Administrator’s telephone number |
8592771570 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC 401K RETIREMENT SAVINGS PLAN
|
2010
|
260493696
|
2011-05-05
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8592771570
|
Plan sponsor’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755
|
Plan administrator’s name and address
Administrator’s EIN |
260493696 |
Plan administrator’s name |
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC |
Plan administrator’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 405041755 |
Administrator’s telephone number |
8592771570 |
Signature of
Role |
Plan administrator |
Date |
2011-05-05 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2009
|
260493696
|
2010-08-27
|
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8592771570
|
Plan sponsor’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
Administrator’s EIN |
260493696 |
Plan administrator’s name |
BLUEGRASS INTERNAL MEDICINE GROUP, PLLC |
Plan administrator’s
address |
1401 HARRODSBURG ROAD, C-435, LEXINGTON, KY, 40504 |
Administrator’s telephone number |
8592771570 |
Signature of
Role |
Plan administrator |
Date |
2010-08-26 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-26 |
Name of individual signing |
DANIEL BEITING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|