BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2015
|
640834985
|
2016-03-17
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Signature of
Role |
Plan administrator |
Date |
2016-03-17 |
Name of individual signing |
JENNIFER WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2014
|
640834985
|
2015-06-17
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Signature of
Role |
Plan administrator |
Date |
2015-06-17 |
Name of individual signing |
JENNIFER WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2013
|
640834985
|
2014-07-29
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
JENNIFER WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2012
|
640834985
|
2013-10-01
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
JENNIFER WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2011
|
640834985
|
2012-07-18
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Plan administrator’s name and address
Administrator’s EIN |
640834985 |
Plan administrator’s name |
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER |
Plan administrator’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532 |
Administrator’s telephone number |
2287022000 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
MICHAEL GOSSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2010
|
640834985
|
2011-08-16
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Plan administrator’s name and address
Administrator’s EIN |
640834985 |
Plan administrator’s name |
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER |
Plan administrator’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532 |
Administrator’s telephone number |
2287022000 |
Signature of
Role |
Plan administrator |
Date |
2011-08-16 |
Name of individual signing |
MICHAEL GOSSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
2009
|
640834985
|
2010-07-29
|
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-11-01
|
Business code |
621493
|
Sponsor’s telephone number |
2287022000
|
Plan sponsor’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532
|
Plan administrator’s name and address
Administrator’s EIN |
640834985 |
Plan administrator’s name |
BILOXI OUTPATIENT SURGERY AND ENDOSCOPY CENTER |
Plan administrator’s
address |
1720-B MEDICAL PARK DRIVE, BILOXI, MS, 39532 |
Administrator’s telephone number |
2287022000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
MICHAEL GOSSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|