WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2018
|
202753146
|
2019-10-01
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2017
|
202753146
|
2018-07-12
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2016
|
202753146
|
2017-07-28
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2015
|
202753146
|
2016-10-04
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2016-10-04 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2014
|
202753146
|
2015-10-13
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2013
|
202753146
|
2014-10-07
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2013
|
202753146
|
2014-09-12
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2012
|
202753146
|
2013-07-30
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, ATTN MARY KEENEY, COLUMBUS, MS, 397051938
|
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING AND TRUST
|
2011
|
202753146
|
2012-10-01
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, ATTN MARY KEENEY, COLUMBUS, MS, 397051938
|
Plan administrator’s name and address
Administrator’s EIN |
202753146 |
Plan administrator’s name |
WILLIAM M GILLESPIE MD PLLC |
Plan administrator’s
address |
425 HOSPITAL DR STE 8, ATTN MARY KEENEY, COLUMBUS, MS, 397051938 |
Administrator’s telephone number |
6623282061 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM M GILLESPIE MD PLLC 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
202753146
|
2011-06-17
|
WILLIAM M GILLESPIE MD PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
511110
|
Sponsor’s telephone number |
6623282061
|
Plan sponsor’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938
|
Plan administrator’s name and address
Administrator’s EIN |
202753146 |
Plan administrator’s name |
WILLIAM M GILLESPIE MD PLLC |
Plan administrator’s
address |
425 HOSPITAL DR STE 8, COLUMBUS, MS, 397051938 |
Administrator’s telephone number |
6623282061 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-17 |
Name of individual signing |
WILLIAM M. GILLESPIE, III, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|