REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
208623262
|
2024-08-16
|
REGIONAL UROLOGY PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421
|
Signature of
Role |
Plan administrator |
Date |
2024-08-16 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-16 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
208623262
|
2023-09-25
|
REGIONAL UROLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2023-09-25 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
208623262
|
2022-10-10
|
REGIONAL UROLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
208623262
|
2021-10-13
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
208623262
|
2020-09-29
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2020-09-29 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
208623262
|
2019-07-29
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
208623262
|
2018-10-01
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
208623262
|
2017-09-25
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2017-09-25 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
208623262
|
2016-07-19
|
REGIONAL UROLOGY PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
DAVID C OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY, PLLC 401(K) PLAN
|
2013
|
208623262
|
2014-07-15
|
REGIONAL UROLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2288727000
|
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564
|
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
DAVID C OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-15 |
Name of individual signing |
DAVID C OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY, PLLC 401(K) PLAN
|
2012
|
208623262
|
2013-06-04
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604085809P040085716613001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-04-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288727000 |
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564 |
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
DAVID C. OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
DAVID C, OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY, PLLC 401(K) PLAN
|
2011
|
208623262
|
2012-05-16
|
REGIONAL UROLOGY, PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/16/20120516110355P030000524423001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-04-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288727000 |
Plan sponsor’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564 |
Plan administrator’s name and address
Administrator’s EIN |
208623262 |
Plan administrator’s name |
REGIONAL UROLOGY, PLLC |
Plan administrator’s
address |
1133 OCEAN SPRINGS ROAD, OCEAN SPRINGS, MS, 39564 |
Administrator’s telephone number |
2288727000 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
DAVID C OWENS M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401K PLAN
|
2010
|
208623262
|
2011-06-27
|
REGIONAL UROLOGY PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/27/20110627083110P030012086274001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288727000 |
Plan sponsor’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Plan administrator’s name and address
Administrator’s EIN |
208623262 |
Plan administrator’s name |
REGIONAL UROLOGY PLLC |
Plan administrator’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Administrator’s telephone number |
2288727000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-27 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REGIONAL UROLOGY PLLC 401K PLAN
|
2009
|
208623262
|
2010-06-03
|
REGIONAL UROLOGY PLLC
|
10
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288727000 |
Plan sponsor’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Plan administrator’s name and address
Administrator’s EIN |
208623262 |
Plan administrator’s name |
REGIONAL UROLOGY PLLC |
Plan administrator’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Administrator’s telephone number |
2288727000 |
|
REGIONAL UROLOGY PLLC 401K PLAN
|
2009
|
208623262
|
2010-07-23
|
REGIONAL UROLOGY PLLC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/23/20100723093821P040017584086001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2007-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2288727000 |
Plan sponsor’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Plan administrator’s name and address
Administrator’s EIN |
208623262 |
Plan administrator’s name |
REGIONAL UROLOGY PLLC |
Plan administrator’s
address |
1133 OCEAN SPRINGS RD, OCEAN SPRINGS, MS, 395643421 |
Administrator’s telephone number |
2288727000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
DAVID OWENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|