|
GULF COAST IMAGING, P.A. 401K PLAN
|
2013
|
640777123
|
2014-09-24
|
GULF COAST IMAGING, P.A.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
621111
|
| Plan sponsor’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369
|
Plan administrator’s name and address
| Administrator’s EIN |
640777123 |
| Plan administrator’s name |
GULF COAST IMAGING, P.A. |
| Plan administrator’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369 |
| Administrator’s telephone number |
2283851933 |
Signature of
| Role |
Plan administrator |
| Date |
2014-09-24 |
| Name of individual signing |
JASON CROWDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GULF COAST IMAGING, P.A. 401K PLAN
|
2012
|
640777123
|
2013-10-09
|
GULF COAST IMAGING, P.A.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
621111
|
| Plan sponsor’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369
|
Plan administrator’s name and address
| Administrator’s EIN |
640777123 |
| Plan administrator’s name |
GULF COAST IMAGING, P.A. |
| Plan administrator’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369 |
| Administrator’s telephone number |
2283851933 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-09 |
| Name of individual signing |
JASON CROWDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GULF COAST IMAGING, P.A. 401K PLAN
|
2011
|
640777123
|
2012-12-26
|
GULF COAST IMAGING, P.A.
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
621111
|
| Plan sponsor’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369
|
Plan administrator’s name and address
| Administrator’s EIN |
640777123 |
| Plan administrator’s name |
GULF COAST IMAGING, P.A. |
| Plan administrator’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369 |
| Administrator’s telephone number |
2283851933 |
Signature of
| Role |
Plan administrator |
| Date |
2012-12-26 |
| Name of individual signing |
WILLIAM HENRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GULF COAST IMAGING, P.A. 401K PLAN
|
2010
|
640777123
|
2011-10-17
|
GULF COAST IMAGING, P.A.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
621111
|
| Plan sponsor’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369
|
Plan administrator’s name and address
| Administrator’s EIN |
640777123 |
| Plan administrator’s name |
GULF COAST IMAGING, P.A. |
| Plan administrator’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369 |
| Administrator’s telephone number |
2283851933 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
WILLIAM HENRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GULF COAST IMAGING, P.A. 401K PLAN
|
2009
|
640777123
|
2012-01-04
|
GULF COAST IMAGING, P.A.
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1990-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2283851933
|
| Plan sponsor’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369
|
Plan administrator’s name and address
| Administrator’s EIN |
640777123 |
| Plan administrator’s name |
GULF COAST IMAGING, P.A. |
| Plan administrator’s
address |
14245 DEDEAUX RD, GULFPORT, MS, 395033369 |
| Administrator’s telephone number |
2283851933 |
Signature of
| Role |
Plan administrator |
| Date |
2012-01-04 |
| Name of individual signing |
WILLIAM HENRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
