UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2023
|
721386164
|
2024-11-11
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 38655
|
Signature of
Role |
Plan administrator |
Date |
2024-11-11 |
Name of individual signing |
EDWARD FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-11-11 |
Name of individual signing |
JULIE L FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2018
|
721386164
|
2019-06-12
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2017
|
721386164
|
2018-10-15
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2016
|
721386164
|
2017-06-13
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2017-06-13 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2015
|
721386164
|
2016-09-30
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2014
|
721386164
|
2015-06-08
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSITY SPORTS MEDICINE, PLLC EMPLOYEES SAVINGS TRUST
|
2013
|
721386164
|
2014-10-14
|
UNIVERSITY SPORTS MEDICINE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6622340424
|
Plan sponsor’s
address |
2401 PROFESSIONAL DR, OXFORD, MS, 386555374
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JULIE FIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|