BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2010
|
640365881
|
2011-10-17
|
BATESVILLE CLINIC, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
TONY MAPLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2010
|
640365881
|
2011-09-11
|
BATESVILLE CLINIC, P.A.
|
16
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
Signature of
Role |
Plan administrator |
Date |
2011-09-11 |
Name of individual signing |
E. LEE LINDER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-11 |
Name of individual signing |
E. LEE LINDER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2009
|
640365881
|
2010-10-15
|
BATESVILLE CLINIC, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
TONY MAPLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2009
|
640365881
|
2010-10-12
|
BATESVILLE CLINIC, P.A.
|
16
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
TONY MAPLES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2009
|
640365881
|
2010-10-12
|
BATESVILLE CLINIC, P.A.
|
16
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
E. LEE LINDER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
E. LEE LINDER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BATESVILLE CLINIC 401(K) PROFIT SHARING PLAN
|
2009
|
640365881
|
2010-06-02
|
BATESVILLE CLINIC, P.A.
|
16
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6625637681
|
Plan sponsor’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606
|
Plan administrator’s name and address
Administrator’s EIN |
640365881 |
Plan administrator’s name |
BATESVILLE CLINIC, P.A. |
Plan administrator’s
address |
107 EUREKA STREET, BATESVILLE, MS, 38606 |
Administrator’s telephone number |
6625637681 |
|