METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2015
|
640813952
|
2016-03-14
|
METROPOLITAN UROLOGY, P. A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2016-03-14 |
Name of individual signing |
JENNIFER MITCHELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2014
|
640813952
|
2015-07-02
|
METROPOLITAN UROLOGY, P. A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
MELODY A BYRD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2013
|
640813952
|
2014-10-09
|
METROPOLITAN UROLOGY, P. A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
640813952 |
Plan administrator’s name |
METROPOLITAN UROLOGY, P. A. |
Plan administrator’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216 |
Administrator’s telephone number |
6019820982 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
MELODY A BYRD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2012
|
640813952
|
2013-10-08
|
METROPOLITAN UROLOGY, P. A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
640813952 |
Plan administrator’s name |
METROPOLITAN UROLOGY, P. A. |
Plan administrator’s
address |
971 LAKELAND DR, SUITE 360, JACKSON, MS, 39216 |
Administrator’s telephone number |
6019820982 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
MELODY A BYRD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2009
|
640813952
|
2010-10-08
|
METROPOLITAN UROLOGY, P. A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 360, JACKSON, MS, 392165065
|
Plan administrator’s name and address
Administrator’s EIN |
640813952 |
Plan administrator’s name |
METROPOLITAN UROLOGY, P. A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 360, JACKSON, MS, 392165065 |
Administrator’s telephone number |
6019820982 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
LIONEL B. FRASER, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
LIONEL B. FRASER, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METROPOLITAN UROLOGY, P. A. 401(K) PLAN AND TRUST
|
2009
|
640813952
|
2010-10-08
|
METROPOLITAN UROLOGY, P. A.
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019820982
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 360, JACKSON, MS, 392165065
|
Plan administrator’s name and address
Administrator’s EIN |
640813952 |
Plan administrator’s name |
METROPOLITAN UROLOGY, P. A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 360, JACKSON, MS, 392165065 |
Administrator’s telephone number |
6019820982 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
LIONEL B. FRASER, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
LIONEL B. FRASER, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|