|
SYRINGA SURGICAL CENTER, LLC 401(K) P/S PLAN
|
2012
|
200968551
|
2013-02-05
|
SYRINGA SURGICAL CENTER, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2087464479
|
| Plan sponsor’s
address |
1630 23RD AVE, SUITE 901B, LEWISTON, ID, 83501
|
Plan administrator’s name and address
| Administrator’s EIN |
200968551 |
| Plan administrator’s name |
SYRINGA SURGICAL CENTER, LLC |
| Plan administrator’s
address |
1630 23RD AVE, SUITE 901B, LEWISTON, ID, 83501 |
| Administrator’s telephone number |
2087464479 |
Signature of
| Role |
Plan administrator |
| Date |
2013-02-05 |
| Name of individual signing |
NITA WHITAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYRINGA SURGICAL CENTER, LLC 401(K) P/S PLAN
|
2011
|
200968551
|
2012-03-27
|
SYRINGA SURGICAL CENTER, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2087464479
|
| Plan sponsor’s
address |
1630 23RD AVE, SUITE 901B, LEWISTON, ID, 83501
|
Plan administrator’s name and address
| Administrator’s EIN |
200968551 |
| Plan administrator’s name |
SYRINGA SURGICAL CENTER, LLC |
| Plan administrator’s
address |
1630 23RD AVE, SUITE 901B, LEWISTON, ID, 83501 |
| Administrator’s telephone number |
2087464479 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-27 |
| Name of individual signing |
NITA WHITAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYRINGA SURGICAL CENTER, LLC 401(K) P/S PLAN
|
2010
|
200968551
|
2011-05-19
|
SYRINGA SURGICAL CENTER, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2087464479
|
| Plan sponsor’s
address |
1630 23RD AVE, SUITE 901A, LEWISTON, ID, 83501
|
Plan administrator’s name and address
| Administrator’s EIN |
200968551 |
| Plan administrator’s name |
SYRINGA SURGICAL CENTER, LLC |
| Plan administrator’s
address |
1630 23RD AVE, SUITE 901A, LEWISTON, ID, 83501 |
| Administrator’s telephone number |
2087464479 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-19 |
| Name of individual signing |
NITA WHITAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYRINGA SURGICAL CENTER, LLC 401(K) P/S PLAN
|
2009
|
200968551
|
2010-06-17
|
SYRINGA SURGICAL CENTER, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2087464479
|
| Plan sponsor’s
address |
1630 23RD AVE, SUITE 901A, LEWISTON, ID, 83501
|
Plan administrator’s name and address
| Administrator’s EIN |
200968551 |
| Plan administrator’s name |
SYRINGA SURGICAL CENTER, LLC |
| Plan administrator’s
address |
1630 23RD AVE, SUITE 901A, LEWISTON, ID, 83501 |
| Administrator’s telephone number |
2087464479 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-17 |
| Name of individual signing |
JUANITA WHITAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
