TOTAL PAIN CARE, LLC SAFE HARBOR 401(K) PLAN
|
2022
|
202484443
|
2023-09-28
|
TOTAL PAIN CARE, LLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 393014458
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401(K) PLAN
|
2021
|
202484443
|
2022-09-26
|
TOTAL PAIN CARE, LLC
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 393014458
|
Signature of
Role |
Plan administrator |
Date |
2022-09-26 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401(K) PLAN
|
2020
|
202484443
|
2021-08-09
|
TOTAL PAIN CARE, LLC
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2021-08-09 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2019
|
202484443
|
2020-10-12
|
TOTAL PAIN CARE, LLC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2018
|
202484443
|
2019-06-26
|
TOTAL PAIN CARE, LLC
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2019-06-26 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-26 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2017
|
202484443
|
2018-09-25
|
TOTAL PAIN CARE, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2018-09-25 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-25 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2016
|
202484443
|
2017-10-16
|
TOTAL PAIN CARE, LLC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2015
|
202484443
|
2016-06-20
|
TOTAL PAIN CARE, LLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2016-06-20 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-20 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2014
|
202484443
|
2015-09-11
|
TOTAL PAIN CARE, LLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2013
|
202484443
|
2014-06-26
|
TOTAL PAIN CARE, LLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014829224
|
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2012
|
202484443
|
2013-10-08
|
TOTAL PAIN CARE, LLC
|
47
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/08/20131008120056P040031936977001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6014829224 |
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-08 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2011
|
202484443
|
2012-10-04
|
TOTAL PAIN CARE, LLC
|
40
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/04/20121004160231P030012870208001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6014829224 |
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Plan administrator’s name and address
Administrator’s EIN |
202484443 |
Plan administrator’s name |
TOTAL PAIN CARE, LLC |
Plan administrator’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014829224 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
TOTAL PAIN CARE, LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2010
|
202484443
|
2011-10-12
|
TOTAL PAIN CARE, LLC
|
33
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012155404P040151197985001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6014829224 |
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Plan administrator’s name and address
Administrator’s EIN |
202484443 |
Plan administrator’s name |
TOTAL PAIN CARE, LLC |
Plan administrator’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014829224 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TOTAL PAIN CARE, LLC SAFE HARBOR 401K PLAN
|
2009
|
202484443
|
2010-06-08
|
TOTAL PAIN CARE, LLC
|
39
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/08/20100608145856P040013777892001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-09-01 |
Business code |
621111 |
Sponsor’s telephone number |
6014829224 |
Plan
sponsor’s DBA name |
TOTAL PAIN CARE, LLC |
Plan sponsor’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Plan administrator’s name and address
Administrator’s EIN |
202484443 |
Plan administrator’s name |
TOTAL PAIN CARE, LLC |
Plan administrator’s
address |
1001 14TH STREET, MERIDIAN, MS, 39301 |
Administrator’s telephone number |
6014829224 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
JOEY DAUGHERTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|