|
THE WOMAN'S CLINIC OF TUPELO, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
640664617
|
2015-07-16
|
THE WOMAN'S CLINIC OF TUPELO, P.A.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-12-29
|
| Business code |
621111
|
| Sponsor’s telephone number |
6628440867
|
| Plan sponsor’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-16 |
| Name of individual signing |
ROBERT KENNEDY MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE WOMAN'S CLINIC OF TUPELO, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
640664617
|
2014-09-23
|
THE WOMAN'S CLINIC OF TUPELO, P.A.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-12-29
|
| Business code |
621111
|
| Sponsor’s telephone number |
6628440867
|
| Plan sponsor’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-23 |
| Name of individual signing |
ROBERT KENNEDY MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE WOMAN'S CLINIC OF TUPELO, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
640664617
|
2013-07-16
|
THE WOMAN'S CLINIC OF TUPELO, P.A.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-12-29
|
| Business code |
621111
|
| Sponsor’s telephone number |
6628440867
|
| Plan sponsor’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-16 |
| Name of individual signing |
ROBERT KENNEDY MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE WOMAN'S CLINIC OF TUPELO, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
640664617
|
2012-07-02
|
THE WOMAN'S CLINIC OF TUPELO, P.A.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-12-29
|
| Business code |
621111
|
| Sponsor’s telephone number |
6628440867
|
| Plan sponsor’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
|
Plan administrator’s name and address
| Administrator’s EIN |
640664617 |
| Plan administrator’s name |
THE WOMAN'S CLINIC OF TUPELO, P.A. |
| Plan administrator’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801 |
| Administrator’s telephone number |
6628440867 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-02 |
| Name of individual signing |
ROBERT KENNEDY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-02 |
| Name of individual signing |
ROBERT KENNEDY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE WOMAN'S CLINIC OF TUPELO, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
640664617
|
2011-10-06
|
THE WOMAN'S CLINIC OF TUPELO, P.A.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-12-29
|
| Business code |
621111
|
| Sponsor’s telephone number |
6628440867
|
| Plan sponsor’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
|
Plan administrator’s name and address
| Administrator’s EIN |
640664617 |
| Plan administrator’s name |
THE WOMAN'S CLINIC OF TUPELO, P.A. |
| Plan administrator’s
address |
1512 MEDICAL PARK CIRCLE, TUPELO, MS, 38801 |
| Administrator’s telephone number |
6628440867 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
ROBERT KENNEDY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-06 |
| Name of individual signing |
ROBERT KENNEDY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
