MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN
|
2013
|
820399298
|
2014-05-13
|
MADISON ANESTHESIA SERVICES, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
2083566141
|
Plan sponsor’s
address |
P.O. BOX 866, REXBURG, ID, 834400866
|
|
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN
|
2012
|
820399298
|
2013-01-31
|
MADISON ANESTHESIA SERVICES, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
2083566141
|
Plan sponsor’s
address |
P.O. BOX 866, REXBURG, ID, 834400866
|
Signature of
Role |
Plan administrator |
Date |
2013-01-31 |
Name of individual signing |
TODD GEHMLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-31 |
Name of individual signing |
TODD GEHMLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN
|
2011
|
820399298
|
2012-02-10
|
MADISON ANESTHESIA SERVICES, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
2083566141
|
Plan sponsor’s
address |
P.O. BOX 866, REXBURG, ID, 834400866
|
Plan administrator’s name and address
Administrator’s EIN |
820399298 |
Plan administrator’s name |
MADISON ANESTHESIA SERVICES, P.A. |
Plan administrator’s
address |
P.O. BOX 866, REXBURG, ID, 834400866 |
Administrator’s telephone number |
2083566141 |
Signature of
Role |
Plan administrator |
Date |
2012-02-10 |
Name of individual signing |
TODD GEHMLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-10 |
Name of individual signing |
TODD GEHMLICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN
|
2010
|
820399298
|
2011-02-04
|
MADISON ANESTHESIA SERVICES, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
2083566141
|
Plan sponsor’s
address |
P.O. BOX 866, REXBURG, ID, 834400866
|
Plan administrator’s name and address
Administrator’s EIN |
820399298 |
Plan administrator’s name |
MADISON ANESTHESIA SERVICES, P.A. |
Plan administrator’s
address |
P.O. BOX 866, REXBURG, ID, 834400866 |
Administrator’s telephone number |
2083566141 |
Signature of
Role |
Plan administrator |
Date |
2011-02-04 |
Name of individual signing |
THOMAS E. SCRUGGS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-04 |
Name of individual signing |
THOMAS E. SCRUGGS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN
|
2009
|
820399298
|
2010-06-25
|
MADISON ANESTHESIA SERVICES, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-06-01
|
Business code |
621399
|
Sponsor’s telephone number |
2083566141
|
Plan sponsor’s
address |
450 E. MAIN, P.O. BOX 866, REXBURG, ID, 834400866
|
Plan administrator’s name and address
Administrator’s EIN |
820399298 |
Plan administrator’s name |
MADISON ANESTHESIA SERVICES, P.A. |
Plan administrator’s
address |
450 E. MAIN, P.O. BOX 866, REXBURG, ID, 834400866 |
Administrator’s telephone number |
2083566141 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
THOMAS E. SCRUGGS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-25 |
Name of individual signing |
THOMAS E. SCRUGGS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|