SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2023
|
452047551
|
2024-07-01
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN RD EXT, STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2024-07-02 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2022
|
452047551
|
2023-07-28
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN RD EXT, STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2023-07-28 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2021
|
452047551
|
2022-07-01
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN RD EXT, STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2022-07-01 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2020
|
452047551
|
2021-06-30
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN RD EXT, STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2019
|
452047551
|
2020-07-08
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN RD EXT, STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2018
|
452047551
|
2019-06-27
|
SOLACE HEALTH, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
541600
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN ROAD EXT STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2017
|
452047551
|
2018-07-25
|
SOLACE HEALTH, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
541600
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN ROAD EXT STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2016
|
452047551
|
2017-07-07
|
SOLACE HEALTH, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
541600
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN ROAD EXT STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOLACE HEALTH, PLLC RETIREMENT TRUST
|
2015
|
452047551
|
2016-07-16
|
SOLACE HEALTH, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
541600
|
Sponsor’s telephone number |
6015546998
|
Plan sponsor’s
address |
6855 LINCOLN ROAD EXT STE 50, HATTIESBURG, MS, 39402
|
Signature of
Role |
Plan administrator |
Date |
2016-07-16 |
Name of individual signing |
MICHELLE LAI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|