GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2023
|
640511145
|
2024-07-03
|
GREENVILLE SURGICAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38703
|
Signature of
Role |
Plan administrator |
Date |
2024-07-03 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2022
|
640511145
|
2023-05-15
|
GREENVILLE SURGICAL CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2023-05-15 |
Name of individual signing |
JEFFERY DOOLITTLE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2021
|
640511145
|
2022-06-09
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2020
|
640511145
|
2021-07-22
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-22 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2019
|
640511145
|
2020-05-14
|
GREENVILLE SURGICAL CLINIC, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2020-05-14 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-14 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2018
|
640511145
|
2019-07-23
|
GREENVILLE SURGICAL CLINIC, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2017
|
640511145
|
2018-06-21
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2018-06-21 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-21 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2016
|
640511145
|
2017-08-04
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2017-08-04 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-04 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2015
|
640511145
|
2016-10-11
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-11 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2014
|
640511145
|
2015-05-05
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623359283
|
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701
|
Signature of
Role |
Plan administrator |
Date |
2015-05-05 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-05 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2013
|
640511145
|
2014-10-02
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002133207P030001596233001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1972-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6623359283 |
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38701 |
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN
|
2012
|
640511145
|
2013-06-11
|
GREENVILLE SURGICAL CLINIC, P.A.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/11/20130611152035P030089398677001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1972-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6623359283 |
Plan sponsor’s
address |
1214 HOSPITAL STREET, GREENVILLE, MS, 38703 |
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-11 |
Name of individual signing |
JEFFERY DOOLITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|