|
OB-GYN CENTER, P.A. 401(K) RETIREMENT PLAN
|
2010
|
820302380
|
2011-12-20
|
OB-GYN CENTER, P.A.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083437501
|
| Plan sponsor’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712
|
Plan administrator’s name and address
| Administrator’s EIN |
820302380 |
| Plan administrator’s name |
OB-GYN CENTER, P.A. |
| Plan administrator’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712 |
| Administrator’s telephone number |
2083437501 |
Signature of
| Role |
Plan administrator |
| Date |
2011-12-20 |
| Name of individual signing |
DENNIS CARTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-12-20 |
| Name of individual signing |
DENNIS CARTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OB-GYN CENTER, P.A. 401(K) RETIREMENT PLAN
|
2010
|
820302380
|
2011-09-19
|
OB-GYN CENTER, P.A.
|
32
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083437501
|
| Plan sponsor’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712
|
Plan administrator’s name and address
| Administrator’s EIN |
820302380 |
| Plan administrator’s name |
OB-GYN CENTER, P.A. |
| Plan administrator’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712 |
| Administrator’s telephone number |
2083437501 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-19 |
| Name of individual signing |
DENNIS CARTER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-19 |
| Name of individual signing |
DENNIS CARTER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
OB-GYN CENTER, P.A. 401(K) RETIREMENT PLAN
|
2009
|
820302380
|
2010-10-13
|
OB-GYN CENTER, P.A.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2083437501
|
| Plan sponsor’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712
|
Plan administrator’s name and address
| Administrator’s EIN |
820302380 |
| Plan administrator’s name |
OB-GYN CENTER, P.A. |
| Plan administrator’s
address |
100 EAST IDAHO STREET, SUITE 302, BOISE, ID, 83712 |
| Administrator’s telephone number |
2083437501 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
DENNIS SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-13 |
| Name of individual signing |
DENNIS SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
