ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2023
|
113693992
|
2024-10-07
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288226040
|
Plan sponsor’s
address |
303 DEWEY AVENUE, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2024-10-07 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2021
|
113693992
|
2022-05-19
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288226040
|
Plan sponsor’s
address |
303 DEWEY AVENUE, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2022-05-19 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-19 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2020
|
113693992
|
2021-04-28
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288226040
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-28 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2019
|
113693992
|
2020-04-02
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288226040
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2020-04-02 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-02 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2018
|
113693992
|
2019-05-09
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288226040
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2019-05-09 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-09 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2017
|
113693992
|
2018-05-24
|
ALLSTAR ORTHOPEDICS, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287623993
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2018-05-24 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-24 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2016
|
113693992
|
2017-07-18
|
ALLSTAR ORTHOPEDICS, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287623993
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2015
|
113693992
|
2016-07-26
|
ALLSTAR ORTHOPEDICS, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287623993
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2014
|
113693992
|
2015-05-12
|
ALLSTAR ORTHOPEDICS, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287623993
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401(K) PLAN
|
2013
|
113693992
|
2015-05-12
|
ALLSTAR ORTHOPEDICS, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287623993
|
Plan sponsor’s
address |
P.O. BOX 1918, GAUTIER, MS, 39553
|
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401K RETIREMENT PLAN
|
2012
|
113693992
|
2013-07-24
|
ALLSTAR ORTHOPEDICS, PLLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/24/20130724125049P030406228193001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288758558 |
Plan sponsor’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
LI BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401K RETIREMENT PLAN
|
2011
|
113693992
|
2012-08-22
|
ALLSTAR ORTHOPEDICS, PLLC
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/22/20120822122410P030015745473001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288758558 |
Plan sponsor’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Plan administrator’s name and address
Administrator’s EIN |
113693992 |
Plan administrator’s name |
ALLSTAR ORTHOPEDICS, PLLC |
Plan administrator’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Administrator’s telephone number |
2288758558 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
ARTHUR BLACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401K RETIREMENT PLAN
|
2010
|
113693992
|
2011-04-28
|
ALLSTAR ORTHOPEDICS, PLLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/28/20110428125007P030015481127001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288758558 |
Plan sponsor’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Plan administrator’s name and address
Administrator’s EIN |
113693992 |
Plan administrator’s name |
ALLSTAR ORTHOPEDICS, PLLC |
Plan administrator’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Administrator’s telephone number |
2288758558 |
Signature of
Role |
Plan administrator |
Date |
2011-04-28 |
Name of individual signing |
AUTHORIZED SIGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLSTAR ORTHOPEDICS 401K RETIREMENT PLAN
|
2009
|
113693992
|
2010-06-07
|
ALLSTAR ORTHOPEDICS, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/07/20100607114112P040029440883001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288758558 |
Plan sponsor’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Plan administrator’s name and address
Administrator’s EIN |
113693992 |
Plan administrator’s name |
ALLSTAR ORTHOPEDICS, PLLC |
Plan administrator’s
address |
PO BOX 1918, GAUTIER, MS, 395530030 |
Administrator’s telephone number |
2288758558 |
Signature of
Role |
Plan administrator |
Date |
2010-06-07 |
Name of individual signing |
AUTHORIZED SIGNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|