|
UNIVERSITY INTERNAL MEDICINE INC 401K PLAN
|
2012
|
651164325
|
2013-06-20
|
UNIVERSITY INTERNAL MEDICINE
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4017254700
|
| Plan sponsor’s mailing address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
| Plan sponsor’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
651164325 |
| Plan administrator’s name |
UNIVERSITY INTERNAL MEDICINE |
| Plan administrator’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017254700 |
Number of participants as of the end of the plan year
| Active participants |
22 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
20 |
| 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 |
2013-06-20 |
| Name of individual signing |
MADHAVI YERNENI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-06-20 |
| Name of individual signing |
MADHAVI YERNENI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY INTERNAL MEDICINE INC 401K PLAN
|
2011
|
651164325
|
2012-05-15
|
UNIVERSITY INTERNAL MEDICINE
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4017254700
|
| Plan sponsor’s mailing address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
| Plan sponsor’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
651164325 |
| Plan administrator’s name |
UNIVERSITY INTERNAL MEDICINE |
| Plan administrator’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017254700 |
Number of participants as of the end of the plan year
| Active participants |
22 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
20 |
| 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 |
2012-05-15 |
| Name of individual signing |
MADHAVI YERNENI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY INTERNAL MEDICINE INC 401K PLAN
|
2010
|
651164325
|
2011-05-12
|
UNIVERSITY INTERNAL MEDICINE
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4017254700
|
| Plan sponsor’s mailing address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
| Plan sponsor’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
651164325 |
| Plan administrator’s name |
UNIVERSITY INTERNAL MEDICINE |
| Plan administrator’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017254700 |
Number of participants as of the end of the plan year
| Active participants |
18 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
18 |
| 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 |
2011-05-12 |
| Name of individual signing |
MADHAVI YERNENI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UNIVERSITY INTERNAL MEDICINE INC 401K PLAN
|
2009
|
651164325
|
2010-04-27
|
UNIVERSITY INTERNAL MEDICINE
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4017254700
|
| Plan sponsor’s mailing address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
| Plan sponsor’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
| Administrator’s EIN |
651164325 |
| Plan administrator’s name |
UNIVERSITY INTERNAL MEDICINE |
| Plan administrator’s
address |
407 EAST AVE, SUITE 120, PAWTUCKET, RI, 02860 |
| Administrator’s telephone number |
4017254700 |
Number of participants as of the end of the plan year
| Active participants |
17 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
17 |
| 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 |
2010-04-27 |
| Name of individual signing |
MADHAVI YERNENI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
