STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2019
|
743086036
|
2020-02-07
|
STARKVILLE UROLOGY, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
1207 HWY. 182 WEST, STE. B, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2020-02-07 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-07 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2018
|
743086036
|
2019-06-06
|
STARKVILLE UROLOGY, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
1207 HWY. 182 WEST, STE. B, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-06 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2017
|
743086036
|
2018-09-06
|
STARKVILLE UROLOGY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
1207 HWY. 182 WEST, STE. B, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-06 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2016
|
743086036
|
2017-09-19
|
STARKVILLE UROLOGY, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
1207 HWY. 182 WEST, STE. B, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2017-09-19 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-19 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC CASH BALANCE PLAN
|
2015
|
743086036
|
2016-10-14
|
STARKVILLE UROLOGY, PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2015
|
743086036
|
2016-04-14
|
STARKVILLE UROLOGY, PLLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2016-04-14 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-14 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2014
|
743086036
|
2015-10-14
|
STARKVILLE UROLOGY, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC CASH BALANCE PLAN
|
2014
|
743086036
|
2015-10-13
|
STARKVILLE UROLOGY, PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
ANN CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2013
|
743086036
|
2014-10-09
|
STARKVILLE UROLOGY, PLLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2012
|
743086036
|
2013-08-19
|
STARKVILLE UROLOGY, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-05-05
|
Business code |
621111
|
Sponsor’s telephone number |
6623241097
|
Plan sponsor’s
address |
102 DOCTORS PARK, STARKVILLE, MS, 397592570
|
Signature of
Role |
Plan administrator |
Date |
2013-08-19 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-19 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2011
|
743086036
|
2012-05-01
|
STARKVILLE UROLOGY, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/01/20120501183844P030005129122001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-05-05 |
Business code |
621111 |
Sponsor’s telephone number |
6623241097 |
Plan sponsor’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 397592570 |
Plan administrator’s name and address
Administrator’s EIN |
743086036 |
Plan administrator’s name |
STARKVILLE UROLOGY, PLLC |
Plan administrator’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 397592570 |
Administrator’s telephone number |
6623241097 |
Signature of
Role |
Plan administrator |
Date |
2012-05-01 |
Name of individual signing |
GORDON M CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-01 |
Name of individual signing |
GORDON M CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2010
|
743086036
|
2011-07-07
|
STARKVILLE UROLOGY, PLLC
|
22
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/07/20110707103551P040091765553001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-05-05 |
Business code |
621111 |
Sponsor’s telephone number |
6623241097 |
Plan sponsor’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 39759 |
Plan administrator’s name and address
Administrator’s EIN |
743086036 |
Plan administrator’s name |
STARKVILLE UROLOGY, PLLC |
Plan administrator’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 39759 |
Administrator’s telephone number |
6623241097 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
GORDON M CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
GORDON M CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STARKVILLE UROLOGY, PLLC 401(K) PLAN
|
2009
|
743086036
|
2010-10-13
|
STARKVILLE UROLOGY, PLLC
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/13/20101013072611P030009084210001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-05-05 |
Business code |
621111 |
Sponsor’s telephone number |
6623241097 |
Plan sponsor’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 39759 |
Plan administrator’s name and address
Administrator’s EIN |
743086036 |
Plan administrator’s name |
STARKVILLE UROLOGY, PLLC |
Plan administrator’s
address |
104 DOCTORS PARK, STARKVILLE, MS, 39759 |
Administrator’s telephone number |
6623241097 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
GORDON CASTLEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|