MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2023
|
201499538
|
2024-10-15
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39130
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2022
|
201499538
|
2023-10-13
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39130
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2021
|
201499538
|
2022-10-06
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39130
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2020
|
201499538
|
2021-10-01
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39130
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2019
|
201499538
|
2020-10-13
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2018
|
201499538
|
2019-10-14
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2017
|
201499538
|
2018-10-12
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2017
|
201499538
|
2018-10-11
|
MADISON HEART CLINIC, PA
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019570049
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
A. GENE HUTCHESON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2016
|
201499538
|
2017-10-05
|
MADISON HEART CLINIC, PA
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6018538814
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2017-10-05 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2016
|
201499538
|
2017-09-12
|
MADISON HEART CLINIC, PA
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6019570049
|
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH SUITE D, MADISON, MS, 39110
|
Signature of
Role |
Plan administrator |
Date |
2017-09-12 |
Name of individual signing |
A. GENE HUTCHESON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN AND TRUST
|
2015
|
201499538
|
2016-10-11
|
MADISON HEART CLINIC, PA
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/11/20161011201738P030019643063001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6018538814 |
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2015
|
201499538
|
2016-07-26
|
MADISON HEART CLINIC, PA
|
16
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
A. GENE HUTCHESON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2015
|
201499538
|
2016-10-07
|
MADISON HEART CLINIC, PA
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/07/20161007100054P030012657047001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
A. GENE HUTCHESON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2014
|
201499538
|
2015-10-13
|
MADISON HEART CLINIC, PA
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/13/20151013091740P040034055773001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2014
|
201499538
|
2015-09-21
|
MADISON HEART CLINIC, PA
|
18
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/21/20150921092607P030009943703001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HIGHWAY 51 NORTH SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2015-09-21 |
Name of individual signing |
A. GENE HUTCHESON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2013
|
201499538
|
2014-10-13
|
MADISON HEART CLINIC, PA
|
17
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/13/20141013133701P040047978657001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6018538814 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2013
|
201499538
|
2014-10-13
|
MADISON HEART CLINIC, PA
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/13/20141013133536P040046023911001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2012
|
201499538
|
2013-10-11
|
MADISON HEART CLINIC, PA
|
17
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/11/20131011085545P030030872915001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6018538814 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2012
|
201499538
|
2013-10-11
|
MADISON HEART CLINIC, PA
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/11/20131011103202P040012118533001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2011
|
201499538
|
2012-10-11
|
MADISON HEART CLINIC, PA
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/11/20121011163122P030029096480001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2011
|
201499538
|
2012-10-11
|
MADISON HEART CLINIC, PA
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/11/20121011163047P030005611633001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2010
|
201499538
|
2011-10-12
|
MADISON HEART CLINIC, PA
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012084309P040022582562001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2010
|
201499538
|
2011-10-05
|
MADISON HEART CLINIC, PA
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/05/20111005094430P040146289505001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2009
|
201499538
|
2011-01-11
|
MADISON HEART CLINIC, PA
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/11/20110111095136P040056571952001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2011-01-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-11 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA 401(K) PROFIT SHARING PLAN
|
2009
|
201499538
|
2010-10-14
|
MADISON HEART CLINIC, PA
|
12
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MADISON HEART CLINIC, PA DEFINED BENEFIT PLAN
|
2009
|
201499538
|
2010-10-14
|
MADISON HEART CLINIC, PA
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014032455P070012133474001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2005-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6019570049 |
Plan sponsor’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Plan administrator’s name and address
Administrator’s EIN |
201499538 |
Plan administrator’s name |
MADISON HEART CLINIC, PA |
Plan administrator’s
address |
794 HWY 51 NORTH, SUITE D, MADISON, MS, 39110 |
Administrator’s telephone number |
6019570049 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
A. GENE HUTCHESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|