SOUTHERN HEALTH NETWORK, INC. 401(K) PLAN
|
2021
|
270260046
|
2022-06-24
|
DIABETES CARE GROUP, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019399923
|
Plan sponsor’s
address |
1040 RIVER OAKS DRIVE, STE 302, PO BOX 321396, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
830824803 |
Plan administrator’s name |
401K SAFE 3(16), LLC |
Plan administrator’s
address |
302 EAST MAIN STREET, PO BOX 1789, ALBERTVILLE, AL, 35950 |
Administrator’s telephone number |
8005456741 |
Signature of
Role |
Plan administrator |
Date |
2022-06-24 |
Name of individual signing |
JAMES B. SHARP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HEALTH NETWORK, INC. 401(K) PLAN
|
2020
|
270260046
|
2021-06-17
|
DIABETES CARE GROUP, INC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019399923
|
Plan sponsor’s
address |
P. O. BOX 321396, 1040 RIVER OAKS DRIVE, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
830824803 |
Plan administrator’s name |
401K SAFE 3(16), LLC |
Plan administrator’s
address |
302 EAST MAIN STREET, PO BOX 518, ALBERTVILLE, AL, 35950 |
Administrator’s telephone number |
2568490585 |
Signature of
Role |
Plan administrator |
Date |
2021-06-17 |
Name of individual signing |
JAMES B. SHARP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIABETES CARE GROUP, INC. 401(K) PLAN
|
2019
|
270260046
|
2020-10-10
|
DIABETES CARE GROUP, INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019399923
|
Plan sponsor’s
address |
P. O. BOX 321396, 1040 RIVER OAKS DRIVE, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
271487169 |
Plan administrator’s name |
401K SAFE 3(16), LLC |
Plan administrator’s
address |
302 EAST MAIN STREET, PO BOX 1789, ALBERTVILLE, AL, 35950 |
Administrator’s telephone number |
8005456741 |
Signature of
Role |
Plan administrator |
Date |
2020-10-10 |
Name of individual signing |
JAMES B. SHARP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIABETES CARE GROUP, INC. 401(K) PLAN
|
2018
|
270260046
|
2019-10-10
|
DIABETES CARE GROUP, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019399923
|
Plan sponsor’s
address |
P. O. BOX 321396, 1040 RIVER OAKS DRIVE, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
901118690 |
Plan administrator’s name |
BENEFIT PROFESSIONALS, INC. |
Plan administrator’s
address |
302 EAST MAIN STREET, PO BOX 1789, ALBERTVILLE, AL, 35950 |
Administrator’s telephone number |
8005456741 |
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
CHRIS BERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIABETES CARE GROUP, INC 401(K) PLAN
|
2017
|
270260046
|
2018-06-11
|
DIABETES CARE GROUP, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6154918235
|
Plan sponsor’s
address |
406 BRIARWOOD DRIVE, BLDG 200, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2018-06-11 |
Name of individual signing |
MICHELLEYOUNG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-11 |
Name of individual signing |
MICHELLE YOUNG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIABETES CARE GROUP, INC 401(K) PLAN
|
2016
|
270260046
|
2017-07-26
|
DIABETES CARE GROUP, INC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6154918235
|
Plan sponsor’s
address |
406 BRIARWOOD DRIVE, BLDG 200, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
MEGAN BLANKENSHIP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|