BOND PHARMACY DBA ADVANCE INFUSION SERVICES PAINCARE WELFARE BENEFIT PLAN
|
2023
|
640913966
|
2024-07-23
|
BOND PHARMACY
|
437
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-06-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan
sponsor’s DBA name |
ADVANCE INFUSIO SERVICES PAINCARE
|
Plan sponsor’s mailing address |
623 HIGHLAND COLONY PKWY, RIDGELAND, MS, 391576076
|
Plan sponsor’s
address |
623 HIGHLAND COLONY PKWY, RIDGELAND, MS, 391576076
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOND PHARMACY DBA ADVANCE INFUSION SERVICES PAINCARE WELFARE BENEFIT PLAN
|
2022
|
640913966
|
2023-06-28
|
BOND PHARMACY
|
576
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-06-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan
sponsor’s DBA name |
ADVACE INFUSION SERVICES PAINCARE
|
Plan sponsor’s mailing address |
623 HIGHLAND COLONY PKWY, RIDGELAND, MS, 391576076
|
Plan sponsor’s
address |
623 HIGHLAND COLONY PKWY, RIDGELAND, MS, 391576076
|
Number of participants as of the end of the plan year
Active participants |
567 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-06-28 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2015
|
640913966
|
2017-10-13
|
BOND PHARMACY, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
623 HIGHLAND COLONY PARKWAY, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2015
|
640913966
|
2016-05-05
|
BOND PHARMACY, INC.
|
101
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
623 HIGHLAND COLONY PARKWAY, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2016-05-05 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-05 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2014
|
640913966
|
2015-07-15
|
BOND PHARMACY, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
623 HIGHLAND COLONY PARKWAY, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
JULIA DOUCETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2013
|
640913966
|
2014-02-25
|
BOND PHARMACY, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2014-02-25 |
Name of individual signing |
CHARLES R BELL JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-25 |
Name of individual signing |
CHARLES R BELL JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2012
|
640913966
|
2013-02-13
|
BOND PHARMACY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056
|
Signature of
Role |
Plan administrator |
Date |
2013-02-13 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-13 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2011
|
640913966
|
2012-02-09
|
BOND PHARMACY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056
|
Plan administrator’s name and address
Administrator’s EIN |
640913966 |
Plan administrator’s name |
BOND PHARMACY, INC. |
Plan administrator’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019881700 |
Signature of
Role |
Plan administrator |
Date |
2012-02-09 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-09 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AIS 401(K) PLAN
|
2010
|
640913966
|
2011-03-16
|
BOND PHARMACY, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6019881700
|
Plan sponsor’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056
|
Plan administrator’s name and address
Administrator’s EIN |
640913966 |
Plan administrator’s name |
BOND PHARMACY, INC. |
Plan administrator’s
address |
132 FAIRMONT STREET, CLINTON, MS, 39056 |
Administrator’s telephone number |
6019881700 |
Signature of
Role |
Plan administrator |
Date |
2011-03-16 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-16 |
Name of individual signing |
CHUCK BELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|