CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
462875758
|
2019-08-12
|
CAPITAL SURGICAL SOLUTIONS LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2019-08-12 |
Name of individual signing |
MARK S FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
462875758
|
2019-05-28
|
CAPITAL SURGICAL SOLUTIONS LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2019-05-28 |
Name of individual signing |
MARK FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
462875758
|
2018-05-14
|
CAPITAL SURGICAL SOLUTIONS LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2018-05-14 |
Name of individual signing |
MARK FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
462875758
|
2017-07-20
|
CAPITAL SURGICAL SOLUTIONS LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
MARK FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
462875758
|
2016-05-25
|
CAPITAL SURGICAL SOLUTIONS LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
MARK S FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAPITAL SURGICAL SOLUTIONS LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
462875758
|
2015-06-09
|
CAPITAL SURGICAL SOLUTIONS LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
9857073903
|
Plan sponsor’s
address |
103 MARINA CIR, CARRIERE, MS, 394267953
|
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
MARK FAUCETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|