|
UROLOGY, P. A. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2023
|
640503353
|
2024-07-02
|
UROLOGY PROFESSIONAL ASSOCIATION
|
71
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6624320700
|
| Plan sponsor’s
address |
499 GLOSTER CREEK VILLAGE SUITE A-1, TUPELO, MS, 38801
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-02 |
| Name of individual signing |
JON TIMOTHY POSEY, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UROLOGY, P. A. SAFE HARBOR 401(K) PROFIT SHARING PLAN
|
2022
|
640503353
|
2023-06-05
|
UROLOGY PROFESSIONAL ASSOCIATION
|
74
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6624320700
|
| Plan sponsor’s
address |
499 GLOSTER CREEK VILLAGE SUITE A-1, TUPELO, MS, 38801
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-05 |
| Name of individual signing |
C. STEPHEN FARMER, II, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-05 |
| Name of individual signing |
SUSANNA CHUNN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UROLOGY, P.A., SAFE-HARBOR 401(K) PROFIT SHARING PLAN
|
2018
|
640503353
|
2019-10-07
|
UROLOGY PROFESSIONAL ASSOCIATION
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6623777100
|
| Plan sponsor’s mailing address |
P.O. BOX 829, TUPELO, MS, 38802
|
| Plan sponsor’s
address |
830 S. GLOSTER, EAST TOWER, 4TH FL, TUPELO, MS, 38801
|
Number of participants as of the end of the plan year
| Active participants |
38 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
9 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
47 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
|
|
UROLOGY, P.A., SAFE-HARBOR 401(K) PROFIT SHARING PLAN
|
2017
|
640503353
|
2018-10-15
|
UROLOGY PROFESSIONAL ASSOCIATION
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6623777100
|
| Plan sponsor’s mailing address |
P.O. BOX 829, TUPELO, MS, 38802
|
| Plan sponsor’s
address |
830 S. GLOSTER, EAST TOWER, 4TH FL, TUPELO, MS, 38801
|
Number of participants as of the end of the plan year
| Active participants |
41 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
6 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
47 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
|
|
UROLOGY P. A. , SAFE-HARBOR 401(K) PROFIT SHARING PLAN
|
2016
|
640503353
|
2017-04-10
|
UROLOGY PROFESSIONAL ASSOCIATION
|
43
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6623777100
|
| Plan sponsor’s mailing address |
P. O. BOX 829, TUPELO, MS, 38802
|
| Plan sponsor’s
address |
830 S. GLOSTER, EAST TOWER, 4TH FL, TUPELO, MS, 38801
|
Number of participants as of the end of the plan year
| Active participants |
38 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
41 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-04-10 |
| Name of individual signing |
CLARANCE FARMER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UROLOGY P. A. , SAFE-HARBOR 401(K) PROFIT SHARING PLAN
|
2015
|
640503353
|
2016-07-11
|
UROLOGY PROFESSIONAL ASSOCIATION
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6623777100
|
| Plan sponsor’s mailing address |
P. O. BOX 829, TUPELO, MS, 38802
|
| Plan sponsor’s
address |
830 S. GLOSTER, EAST TOWER, 4TH FL, TUPELO, MS, 38801
|
Number of participants as of the end of the plan year
| Active participants |
37 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
40 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-07-11 |
| Name of individual signing |
CLARANCE FARMER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
UROLOGY P. A. , SAFE-HARBOR 401(K) PROFIT SHARING PLAN
|
2014
|
640503353
|
2015-06-26
|
UROLOGY PROFESSIONAL ASSOCIATION
|
47
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6623777100
|
| Plan sponsor’s mailing address |
P. O. BOX 829, TUPELO, MS, 38802
|
| Plan sponsor’s
address |
830 S. GLOSTER, EAST TOWER, 4TH FL, TUPELO, MS, 38801
|
Number of participants as of the end of the plan year
| Active participants |
40 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
45 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2015-06-26 |
| Name of individual signing |
CLARANCE FARMER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
