JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2017
|
640737033
|
2018-04-06
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2018-04-06 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-06 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P. A.
|
2017
|
640737033
|
2018-07-17
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2016
|
640737033
|
2017-08-23
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2017-08-23 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-23 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2015
|
640737033
|
2016-07-26
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2014
|
640737033
|
2015-05-12
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2013
|
640737033
|
2014-07-03
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-03 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2012
|
640737033
|
2013-07-10
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-10 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2011
|
640737033
|
2012-07-16
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
640737033 |
Plan administrator’s name |
JACKSON PSYCHOLOGICAL GROUP, P.A. |
Plan administrator’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216 |
Administrator’s telephone number |
6019811008 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2010
|
640737033
|
2011-06-30
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
640737033 |
Plan administrator’s name |
JACKSON PSYCHOLOGICAL GROUP, P.A. |
Plan administrator’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216 |
Administrator’s telephone number |
6019811008 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON PSYCHOLOGICAL GROUP, P.A. PROFIT SHARING PLAN
|
2009
|
640737033
|
2010-07-09
|
JACKSON PSYCHOLOGICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-12-01
|
Business code |
621330
|
Sponsor’s telephone number |
6019811008
|
Plan sponsor’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
640737033 |
Plan administrator’s name |
JACKSON PSYCHOLOGICAL GROUP, P.A. |
Plan administrator’s
address |
1818 CRANE RIDGE DRIVE, SUITE 101, JACKSON, MS, 39216 |
Administrator’s telephone number |
6019811008 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
JESSE F. DEES, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|