401K EMPLOYEE RETIREMENT PLAN
|
2015
|
205300325
|
2016-07-01
|
FAMILY FIRST HEALTHCARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2012-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6017092300
|
Plan sponsor’s
address |
119 S OAKS STREET STE 2, RAYMOND, MS, 39154
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, BRANDON, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2016-07-01 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2014
|
205300325
|
2015-07-14
|
FAMILY FIRST HEALTHCARE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2012-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6017092300
|
Plan sponsor’s
address |
119 S OAKS STREET STE 2, RAYMOND, MS, 39154
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, BRANDON, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2013
|
205300325
|
2014-10-15
|
FAMILY FIRST HEALTHCARE
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2012-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6017092300
|
Plan sponsor’s
address |
119 S OAKS STREET STE 2, RAYMOND, MS, 39154
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, BRANDON, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2012
|
205300325
|
2013-07-31
|
FAMILY FIRST HEALTHCARE
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2012-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
6017092300
|
Plan sponsor’s
address |
119 S OAKS STREET STE 2, RAYMOND, MS, 39154
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, BRANDON, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|