RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
721376033
|
2018-10-11
|
RONNYE D. PURVIS, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
721376033
|
2017-10-16
|
RONNYE D. PURVIS, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
721376033
|
2016-09-29
|
RONNYE D. PURVIS, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
RONNYE D. PURVIS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-29 |
Name of individual signing |
RONNYE D. PURVIS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
721376033
|
2015-09-09
|
RONNYE D. PURVIS, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2015-09-09 |
Name of individual signing |
RONNYE D. PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-09 |
Name of individual signing |
RONNYE D. PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
721376033
|
2014-07-08
|
RONNYE D. PURVIS, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
721376033
|
2013-06-10
|
RONNYE D. PURVIS, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
721376033
|
2012-03-21
|
RONNYE D. PURVIS, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Plan administrator’s name and address
Administrator’s EIN |
721376033 |
Plan administrator’s name |
RONNYE D. PURVIS, M.D., P.C. |
Plan administrator’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014858974 |
Signature of
Role |
Plan administrator |
Date |
2012-03-21 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-21 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
721376033
|
2011-04-13
|
RONNYE D. PURVIS, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Plan administrator’s name and address
Administrator’s EIN |
721376033 |
Plan administrator’s name |
RONNYE D. PURVIS, M.D., P.C. |
Plan administrator’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014858974 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-13 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
721376033
|
2010-08-11
|
RONNYE D. PURVIS, M.D., P.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Plan administrator’s name and address
Administrator’s EIN |
721376033 |
Plan administrator’s name |
RONNYE D. PURVIS, M.D., P.C. |
Plan administrator’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014858974 |
Signature of
Role |
Plan administrator |
Date |
2010-08-11 |
Name of individual signing |
RONNYE D PURVIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-11 |
Name of individual signing |
RONNYE D PURVIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
RONNYE D. PURVIS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
721376033
|
2010-08-24
|
RONNYE D. PURVIS, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014858974
|
Plan sponsor’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301
|
Plan administrator’s name and address
Administrator’s EIN |
721376033 |
Plan administrator’s name |
RONNYE D. PURVIS, M.D., P.C. |
Plan administrator’s
address |
2420 11TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014858974 |
Signature of
Role |
Plan administrator |
Date |
2010-08-24 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-24 |
Name of individual signing |
RONNYE PURVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|