|
IDAHO GYN/ONCOLOGY SERVICES, LLC 401(K) PLAN
|
2011
|
202975807
|
2012-09-18
|
IDAHO GYN/ONCOLOGY SERVICES, LLC
|
4
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-08-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2083672006
|
| Plan sponsor’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704
|
Plan administrator’s name and address
| Administrator’s EIN |
202975807 |
| Plan administrator’s name |
IDAHO GYN/ONCOLOGY SERVICES, LLC |
| Plan administrator’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704 |
| Administrator’s telephone number |
2083672006 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-18 |
| Name of individual signing |
GERARDO PEREZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
IDAHO GYN/ONCOLOGY SERVICES, LLC 401(K) PLAN
|
2010
|
202975807
|
2011-09-28
|
IDAHO GYN/ONCOLOGY SERVICES, LLC
|
4
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-08-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2083672006
|
| Plan sponsor’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704
|
Plan administrator’s name and address
| Administrator’s EIN |
202975807 |
| Plan administrator’s name |
IDAHO GYN/ONCOLOGY SERVICES, LLC |
| Plan administrator’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704 |
| Administrator’s telephone number |
2083672006 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-28 |
| Name of individual signing |
GERARDO PEREZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
IDAHO GYN/ONCOLOGY SERVICES, LLC 401(K) PLAN
|
2010
|
202975807
|
2011-09-27
|
IDAHO GYN/ONCOLOGY SERVICES, LLC
|
4
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-08-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2083672006
|
| Plan sponsor’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704
|
Plan administrator’s name and address
| Administrator’s EIN |
202975807 |
| Plan administrator’s name |
IDAHO GYN/ONCOLOGY SERVICES, LLC |
| Plan administrator’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704 |
| Administrator’s telephone number |
2083672006 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-27 |
| Name of individual signing |
GERARDO PEREZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
IDAHO GYN/ONCOLOGY SERVICES, LLC 401(K) PLAN
|
2010
|
202975807
|
2011-09-30
|
IDAHO GYN/ONCOLOGY SERVICES, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-08-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2083672006
|
| Plan sponsor’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704
|
Plan administrator’s name and address
| Administrator’s EIN |
202975807 |
| Plan administrator’s name |
IDAHO GYN/ONCOLOGY SERVICES, LLC |
| Plan administrator’s
address |
6140 WEST CURTISIAN SUITE B12, BOISE, ID, 83704 |
| Administrator’s telephone number |
2083672006 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-30 |
| Name of individual signing |
GERARDO PEREZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
