ANESTHESIA CARE, INC. 401(K) PLAN
|
2018
|
050478115
|
2019-10-09
|
ANESTHESIA CARE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
SUSAN WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2017
|
050478115
|
2018-02-01
|
ANESTHESIA CARE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2018-02-01 |
Name of individual signing |
SUSAN WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2016
|
050478115
|
2017-10-03
|
ANESTHESIA CARE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
SUSAN WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2015
|
050478115
|
2016-10-17
|
ANESTHESIA CARE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
SUSAN WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2014
|
050478115
|
2015-09-15
|
ANESTHESIA CARE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2013
|
050478115
|
2014-07-09
|
ANESTHESIA CARE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN STREET, SUITE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2012
|
050478115
|
2013-10-07
|
ANESTHESIA CARE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2011
|
050478115
|
2012-07-11
|
ANESTHESIA CARE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050478115 |
Plan administrator’s name |
ANESTHESIA CARE, INC. |
Plan administrator’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017267300 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2010
|
050478115
|
2011-09-28
|
ANESTHESIA CARE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050478115 |
Plan administrator’s name |
ANESTHESIA CARE, INC. |
Plan administrator’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017267300 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANESTHESIA CARE, INC. 401(K) PLAN
|
2009
|
050478115
|
2010-09-09
|
ANESTHESIA CARE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017267300
|
Plan sponsor’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
050478115 |
Plan administrator’s name |
ANESTHESIA CARE, INC. |
Plan administrator’s
address |
200 MAIN ST, STE 350, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017267300 |
Signature of
Role |
Plan administrator |
Date |
2010-09-09 |
Name of individual signing |
PETER BAZIOTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|