UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2010
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN
|
2009
|
820381103
|
2011-08-11
|
UROLOGIC CLINIC OF BOISE, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Plan sponsor’s mailing address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan sponsor’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709
|
Plan administrator’s name and address
Administrator’s EIN |
820381103 |
Plan administrator’s name |
UROLOGIC CLINIC OF BOISE, P.A. |
Plan administrator’s
address |
1140 S. ALLANTE AVE., BOISE, ID, 83709 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
DAVID RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|