MEDICAL ONCOLOGY, PA DEFINED BENEFIT PLAN
|
2010
|
640930175
|
2011-10-04
|
MEDICAL ONCOLOGY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6626277163
|
Plan sponsor’s
address |
581 MEDICAL DRIVE, CLARKSDALE, MS, 38614
|
Plan administrator’s name and address
Administrator’s EIN |
640930175 |
Plan administrator’s name |
MEDICAL ONCOLOGY, INC. |
Plan administrator’s
address |
581 MEDICAL DRIVE, CLARKSDALE, MS, 38614 |
Administrator’s telephone number |
6626277163 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
MTANIUS SULTANI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
MTANIUS SULTANI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL ONCOLOGY, PA DEFINED BENEFIT PLAN
|
2009
|
640930175
|
2010-10-08
|
MEDICAL ONCOLOGY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6626277163
|
Plan sponsor’s
address |
581 MEDICAL DRIVE, CLARKSDALE, MS, 386140000
|
Plan administrator’s name and address
Administrator’s EIN |
640930175 |
Plan administrator’s name |
MEDICAL ONCOLOGY, INC. |
Plan administrator’s
address |
581 MEDICAL DRIVE, CLARKSDALE, MS, 386140000 |
Administrator’s telephone number |
6626277163 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
DR.MTANIUS SULTANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
DR.MTANIUS SULTANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|