JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2023
|
901140615
|
2024-09-18
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
MELISSA DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
901140615
|
2023-10-12
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
MELISSA DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2022
|
901140615
|
2023-10-11
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
MELISSA DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2020
|
901140615
|
2021-06-16
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON THYROID & ENDOCRINE CLINIC, PLLC
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
BEVERLY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2019
|
901140615
|
2020-05-14
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON THYROID & ENDOCRINE CLINIC, PLLC
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2020-05-14 |
Name of individual signing |
BEVERLY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2017
|
901140615
|
2018-07-18
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6013217243
|
Plan
sponsor’s DBA name |
JACKSON
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
PAMELA WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-18 |
Name of individual signing |
PAMELA WALKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2015
|
640947966
|
2016-07-12
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON THYROID & ENDOCRINE CLINIC, PLLC
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
BEVERLY MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-12 |
Name of individual signing |
J. WOODY SISTRUNK, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN
|
2014
|
640947966
|
2015-06-09
|
JOHN WOODY SISTRUNK, M.D. PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019496990
|
Plan
sponsor’s DBA name |
JACKSON THYROID & ENDOCRINE CLINIC, PLLC
|
Plan sponsor’s
address |
971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216
|
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
J WOODY SISTRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-09 |
Name of individual signing |
J WOODY SISTRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|