MINOR MED CARE, P. A. 401(K) PLAN
|
2011
|
640679049
|
2012-07-26
|
MINOR MED CARE, P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6013733004
|
Plan sponsor’s
address |
2860 MCDOWELL ROAD, JACKSON, MS, 39204
|
Plan administrator’s name and address
Administrator’s EIN |
640679049 |
Plan administrator’s name |
MINOR MED CARE, P. A. |
Plan administrator’s
address |
2860 MCDOWELL ROAD, JACKSON, MS, 39204 |
Administrator’s telephone number |
6013733004 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
TIMOTHY ESTES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
TIMOTHY ESTES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINOR MED CARE, P.A. 401(K) PLAN
|
2010
|
640679049
|
2011-09-20
|
MINOR MED CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6013733004
|
Plan sponsor’s
address |
2860 MCDOWELL RD, JACKSON, MS, 39204
|
Plan administrator’s name and address
Administrator’s EIN |
640679049 |
Plan administrator’s name |
MINOR MED CARE, P.A. |
Plan administrator’s
address |
2860 MCDOWELL RD, JACKSON, MS, 39204 |
Administrator’s telephone number |
6013733004 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
TIMOTHY ESTES, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-20 |
Name of individual signing |
WANDA DARLENE ESTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINOR MED CARE, P.A. 401(K) PLAN
|
2009
|
640679049
|
2010-10-14
|
MINOR MED CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
6013733004
|
Plan sponsor’s
address |
2560 MCDOWELL ROAD, JACKSON, MS, 39204
|
Plan administrator’s name and address
Administrator’s EIN |
640679049 |
Plan administrator’s name |
MINOR MED CARE, P.A. |
Plan administrator’s
address |
2560 MCDOWELL ROAD, JACKSON, MS, 39204 |
Administrator’s telephone number |
6013733004 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|