PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
461830250
|
2024-10-15
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-15 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2023
|
461830250
|
2024-10-15
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-15 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
461830250
|
2023-08-08
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2023-08-08 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-08 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2022
|
461830250
|
2023-08-08
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2023-08-08 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-08 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2021
|
461830250
|
2022-10-04
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-04 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2021
|
461830250
|
2022-10-04
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2022-10-04 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-04 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
461830250
|
2021-10-13
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2020
|
461830250
|
2021-10-13
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2019
|
461830250
|
2020-07-24
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-24 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
461830250
|
2020-07-21
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2483425207
|
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-21 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2018
|
461830250
|
2019-08-20
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/08/20/20190820092733P030000440341001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-20 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2018
|
461830250
|
2019-08-20
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/08/20/20190820093119P030005826193001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-20 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2017
|
461830250
|
2018-07-30
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/30/20180730120922P030091191927001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
461830250
|
2018-07-05
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/05/20180705170559P040038928919001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-05 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN
|
2016
|
461830250
|
2018-07-30
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/30/20180730125834P040003955029001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN AND SPINE SPECIALISTS PLLC DEFINED BENEFIT PLAN
|
2016
|
461830250
|
2017-08-25
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/25/20170825131742P030098014263001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2017-08-25 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-25 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN
|
2016
|
461830250
|
2017-08-23
|
PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/23/20170823143913P040096146007001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2016-10-01 |
Business code |
621111 |
Sponsor’s telephone number |
2483425207 |
Plan sponsor’s
address |
14986 ANGELA DRIVE, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2017-08-23 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-23 |
Name of individual signing |
SHAWN WU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|