GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2019
|
640917959
|
2020-09-23
|
GRENADA ANESTHESIOLOGY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6624175181
|
Plan sponsor’s
address |
326 STONE LAKE CV, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2020-09-23 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2018
|
640917959
|
2019-06-06
|
GRENADA ANESTHESIOLOGY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6624175181
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 389014056
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
WALTER T TAYLOR JR MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2017
|
640917959
|
2018-08-28
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6624175181
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 389014056
|
Signature of
Role |
Plan administrator |
Date |
2018-08-28 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-28 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2016
|
640917959
|
2017-04-12
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Signature of
Role |
Plan administrator |
Date |
2017-04-12 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-12 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2015
|
640917959
|
2016-04-08
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Signature of
Role |
Plan administrator |
Date |
2016-04-08 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-08 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2014
|
640917959
|
2015-07-14
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2013
|
640917959
|
2014-07-30
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2012
|
640917959
|
2013-05-15
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-15 |
Name of individual signing |
DR. WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2011
|
640917959
|
2012-05-03
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Plan administrator’s name and address
Administrator’s EIN |
640917959 |
Plan administrator’s name |
GRENADA ANESTHESIOLOGY, INC. |
Plan administrator’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901 |
Administrator’s telephone number |
6622266644 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-03 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2010
|
640917959
|
2011-06-21
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
6622266644
|
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901
|
Plan administrator’s name and address
Administrator’s EIN |
640917959 |
Plan administrator’s name |
GRENADA ANESTHESIOLOGY, INC. |
Plan administrator’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901 |
Administrator’s telephone number |
6622266644 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-21 |
Name of individual signing |
WALTER TAYLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRENADA ANESTHESIOLOGY, INC. 401(K) PLAN
|
2009
|
640917959
|
2010-09-28
|
GRENADA ANESTHESIOLOGY, INC.
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928170706P040006660562001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-01-01 |
Business code |
621399 |
Sponsor’s telephone number |
6622266644 |
Plan sponsor’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901 |
Plan administrator’s name and address
Administrator’s EIN |
640917959 |
Plan administrator’s name |
GRENADA ANESTHESIOLOGY, INC. |
Plan administrator’s
address |
1270 HUNTER RUN, GRENADA, MS, 38901 |
Administrator’s telephone number |
6622266644 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
WALTER T. TAYLOR, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-28 |
Name of individual signing |
WALTER T. TAYLOR, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|