E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-11
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-10 |
Name of individual signing |
EDWARD T. WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-10
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-06 |
Name of individual signing |
EDWARD T WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
E.W. ANESTHESIA SERVICES DEFINED BENEFIT PLAN
|
2011
|
260649335
|
2012-04-12
|
E.W. ANESTHESIA SERVICES, INC.
|
1
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216379197
|
Plan sponsor’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
260649335 |
Plan administrator’s name |
E.W. ANESTHESIA SERVICES, INC. |
Plan administrator’s
address |
812 TOPAZ DRIVE, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216379197 |
Signature of
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
EDWARD WILKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|