DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2023
|
274017144
|
2024-09-24
|
DIAMONDHEAD URGENT CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Signature of
Role |
Plan administrator |
Date |
2024-09-24 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-24 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2022
|
274017144
|
2023-08-30
|
DIAMONDHEAD URGENT CARE, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2023-08-30 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2021
|
274017144
|
2022-07-11
|
DIAMONDHEAD URGENT CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2022-07-11 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2020
|
274017144
|
2021-09-13
|
DIAMONDHEAD URGENT CARE, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2021-09-13 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2019
|
274017144
|
2020-09-30
|
DIAMONDHEAD URGENT CARE, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2020-09-30 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2018
|
274017144
|
2019-06-07
|
DIAMONDHEAD URGENT CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2019-06-07 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2017
|
274017144
|
2018-06-07
|
DIAMONDHEAD URGENT CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2018-06-07 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2016
|
274017144
|
2017-06-06
|
DIAMONDHEAD URGENT CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2017-06-06 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2015
|
274017144
|
2016-07-07
|
DIAMONDHEAD URGENT CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2014
|
274017144
|
2015-09-18
|
DIAMONDHEAD URGENT CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2283649001
|
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
|
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2015-09-18 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN
|
2013
|
274017144
|
2014-05-28
|
DIAMONDHEAD URGENT CARE, LLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/28/20140528094034P030419163073001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2283649001 |
Plan sponsor’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Plan administrator’s name and address
Administrator’s EIN |
274017144 |
Plan administrator’s name |
DIAMONDHEAD URGENT CARE, LLC |
Plan administrator’s
address |
4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525 |
Administrator’s telephone number |
2283649001 |
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
JAMES EMBRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|