|
MISSISSIPPI UROLOGY CLINIC, P.A. PROFIT-SHARING PLAN
|
2012
|
640884577
|
2015-10-06
|
MISSISSIPPI UROLOGY CLINIC, PLLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6013539900
|
| Plan sponsor’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-06 |
| Name of individual signing |
JOSEPH A HOUSE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MISSISSIPPI UROLOGY CLINIC, P.A. PROFIT-SHARING PLAN
|
2011
|
640884577
|
2013-05-23
|
MISSISSIPPI UROLOGY CLINIC, PLLC
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6013539900
|
| Plan sponsor’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658
|
Plan administrator’s name and address
| Administrator’s EIN |
640884577 |
| Plan administrator’s name |
MISSISSIPPI UROLOGY CLINIC, PLLC |
| Plan administrator’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658 |
| Administrator’s telephone number |
6013539900 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-23 |
| Name of individual signing |
JOSEPH A HOUSE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MISSISSIPPI UROLOGY CLINIC, P.A. PROFIT-SHARING PLAN
|
2011
|
640884577
|
2014-03-19
|
MISSISSIPPI UROLOGY CLINIC, PLLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6013539900
|
| Plan sponsor’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658
|
Plan administrator’s name and address
| Administrator’s EIN |
640884577 |
| Plan administrator’s name |
MISSISSIPPI UROLOGY CLINIC, PLLC |
| Plan administrator’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658 |
| Administrator’s telephone number |
6013539900 |
Signature of
| Role |
Plan administrator |
| Date |
2014-03-19 |
| Name of individual signing |
JOSEPH A HOUSE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MISSISSIPPI UROLOGY CLINIC, P.A. PROFIT-SHARING PLAN
|
2011
|
640884577
|
2014-03-19
|
MISSISSIPPI UROLOGY CLINIC, PLLC
|
16
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6013539900
|
| Plan sponsor’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658
|
Plan administrator’s name and address
| Administrator’s EIN |
640884577 |
| Plan administrator’s name |
MISSISSIPPI UROLOGY CLINIC, PLLC |
| Plan administrator’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658 |
| Administrator’s telephone number |
6013539900 |
Signature of
| Role |
Plan administrator |
| Date |
2014-03-19 |
| Name of individual signing |
JOSEPH A HOUSE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MISSISSIPPI UROLOGY CLINIC, P.A. PROFIT-SHARING PLAN
|
2010
|
640884577
|
2012-08-15
|
MISSISSIPPI UROLOGY CLINIC, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6013539900
|
| Plan sponsor’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658
|
Plan administrator’s name and address
| Administrator’s EIN |
640884577 |
| Plan administrator’s name |
MISSISSIPPI UROLOGY CLINIC, PLLC |
| Plan administrator’s
address |
1421 NORTH STATE STREET SUITE 403, JACKSON, MS, 392021658 |
| Administrator’s telephone number |
6013539900 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-15 |
| Name of individual signing |
JOSEPH HOUSE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
