MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2018
|
721399633
|
2019-02-05
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2019-02-05 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-05 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2017
|
721399633
|
2018-03-08
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2018-03-08 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-08 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2016
|
721399633
|
2017-06-19
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2017-06-19 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-19 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2015
|
721399633
|
2016-10-13
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2014
|
721399633
|
2015-10-14
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2013
|
721399633
|
2014-10-14
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2012
|
721399633
|
2013-07-18
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2011
|
721399633
|
2012-10-13
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
721399633 |
Plan administrator’s name |
MAURICE JAMES OPHTHALMOLOGY, P.A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216 |
Administrator’s telephone number |
6013624467 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2011
|
721399633
|
2012-10-13
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
721399633 |
Plan administrator’s name |
MAURICE JAMES OPHTHALMOLOGY, P.A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216 |
Administrator’s telephone number |
6013624467 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-13 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2010
|
721399633
|
2011-10-14
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013624467
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216
|
Plan administrator’s name and address
Administrator’s EIN |
721399633 |
Plan administrator’s name |
MAURICE JAMES OPHTHALMOLOGY, P.A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 661, WEST MEDICAL TOWER, JACKSON, MS, 39216 |
Administrator’s telephone number |
6013624467 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAURICE JAMES PROFIT SHARING PLAN AND TRUST
|
2009
|
721399633
|
2010-10-12
|
MAURICE JAMES OPHTHALMOLOGY, P.A.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012081506P070022744577001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1981-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6013624467 |
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216 |
Plan administrator’s name and address
Administrator’s EIN |
721399633 |
Plan administrator’s name |
MAURICE JAMES OPHTHALMOLOGY, P.A. |
Plan administrator’s
address |
971 LAKELAND DRIVE, SUITE 563, WEST MEDICAL TOWER, JACKSON, MS, 39216 |
Administrator’s telephone number |
6013624467 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
MAVIS JAMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|