|
ROSE CANCER CENTER PC
|
2010
|
202180521
|
2011-07-19
|
ROSE CANCER CENTER PC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6012762074
|
| Plan sponsor’s mailing address |
1136 LAKEVIEW, SUMMIT, MS, 39666
|
| Plan sponsor’s
address |
807 ROBB STREET, SUMMIT, MS, 39666
|
Plan administrator’s name and address
| Plan administrator’s name |
MEERA SACHDEVA |
| Plan administrator’s
address |
1136 LAKEVIEW, SUMMIT, MS, 39666 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
HAL HOLLOWAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROSE CANCE CENTER PC PROFIT SHARING PLAN
|
2010
|
202180521
|
2011-03-03
|
ROSE CANCER CENTER PC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6012762074
|
| Plan sponsor’s mailing address |
1136 LAKEVIEW, SUMMIT, MS, 39666
|
| Plan sponsor’s
address |
1136 LAKEVIEW, SUMMIT, MS, 39666
|
Plan administrator’s name and address
| Plan administrator’s name |
MEERA SACHDEVA |
| Plan administrator’s
address |
1136 LAKEVIEW, SUMMIT, MS, 39666 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-03 |
| Name of individual signing |
MICHAEL FAUST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROSE CANCER CENTER PC
|
2009
|
202180521
|
2011-07-19
|
ROSE CANCER CENTER PC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6012762074
|
| Plan sponsor’s mailing address |
1136 LAKEVIEW, SUMMIT, MS, 39666
|
| Plan sponsor’s
address |
807 ROBB STREET, SUMMIT, MS, 39666
|
Plan administrator’s name and address
| Administrator’s EIN |
255558234 |
| Plan administrator’s name |
MEERA SACHDEVA |
| Plan administrator’s
address |
1136 LAKEVIEW, SUMMIT, MS, 39666 |
| Administrator’s telephone number |
6012762074 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
HAL HOLLOWAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROSE CANCER CENTER PC
|
2009
|
202180521
|
2011-07-19
|
ROSE CANCER CENTER PC
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6012762074
|
| Plan sponsor’s mailing address |
1136 LAKEVIEW, SUMMIT, MS, 39666
|
| Plan sponsor’s
address |
807 ROBB STREET, SUMMIT, MS, 39666
|
Plan administrator’s name and address
| Plan administrator’s name |
MEERA SACHDEVA |
| Plan administrator’s
address |
1136 LAKEVIEW, SUMMIT, MS, 39666 |
| Administrator’s telephone number |
6012762074 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
HAL HOLLOWAY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
