SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2023
|
640615714
|
2024-06-21
|
SURGERY ASSOCIATES, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2024-06-21 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2022
|
640615714
|
2023-06-14
|
SURGERY ASSOCIATES, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2023-06-13 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2021
|
640615714
|
2022-06-13
|
SURGERY ASSOCIATES, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2020
|
640615714
|
2021-09-07
|
SURGERY ASSOCIATES, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2021-09-07 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2019
|
640615714
|
2020-06-23
|
SURGERY ASSOCIATES, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2018
|
640615714
|
2019-05-21
|
SURGERY ASSOCIATES, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2019-05-21 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN
|
2017
|
640615714
|
2018-05-23
|
SURGERY ASSOCIATES, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM DR., TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2018-05-23 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2016
|
640615714
|
2017-06-08
|
SURGERY ASSOCIATES, P. A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-08 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2015
|
640615714
|
2016-05-24
|
SURGERY ASSOCIATES, P. A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2016-05-24 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-24 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2014
|
640615714
|
2015-06-04
|
SURGERY ASSOCIATES, P. A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6628445344
|
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801
|
Signature of
Role |
Plan administrator |
Date |
2015-06-04 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-04 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2013
|
640615714
|
2014-08-22
|
SURGERY ASSOCIATES, P. A.
|
19
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/22/20140822101754P030100513121001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1978-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6628445344 |
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Signature of
Role |
Plan administrator |
Date |
2014-08-22 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-22 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2012
|
640615714
|
2013-08-20
|
SURGERY ASSOCIATES, P. A.
|
20
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/20/20130820095820P040132274709001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1978-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6628445344 |
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Signature of
Role |
Plan administrator |
Date |
2013-08-20 |
Name of individual signing |
DAVID GILLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-20 |
Name of individual signing |
DAVID GILLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2011
|
640615714
|
2012-11-29
|
SURGERY ASSOCIATES, P. A.
|
20
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/29/20121129145218P040008876516001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1978-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6628445344 |
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Plan administrator’s name and address
Administrator’s EIN |
640615714 |
Plan administrator’s name |
SURGERY ASSOCIATES, P. A. |
Plan administrator’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Administrator’s telephone number |
6628445344 |
Signature of
Role |
Plan administrator |
Date |
2012-11-29 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-29 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2010
|
640615714
|
2011-11-16
|
SURGERY ASSOCIATES, P. A.
|
20
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/16/20111116132908P040000823842001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1978-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6628445344 |
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Plan administrator’s name and address
Administrator’s EIN |
640615714 |
Plan administrator’s name |
SURGERY ASSOCIATES, P. A. |
Plan administrator’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Administrator’s telephone number |
6628445344 |
Signature of
Role |
Plan administrator |
Date |
2011-11-16 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-16 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGERY ASSOCIATES, P. A. PROFIT SHARING PLAN
|
2009
|
640615714
|
2011-02-15
|
SURGERY ASSOCIATES, P. A.
|
21
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/15/20110215151600P040010899153001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1978-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6628445344 |
Plan sponsor’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Plan administrator’s name and address
Administrator’s EIN |
640615714 |
Plan administrator’s name |
SURGERY ASSOCIATES, P. A. |
Plan administrator’s
address |
440 PEGRAM, TUPELO, MS, 38801 |
Administrator’s telephone number |
6628445344 |
Signature of
Role |
Plan administrator |
Date |
2011-02-15 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-15 |
Name of individual signing |
DAVID GILLILAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|