|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2023
|
610673590
|
2024-07-05
|
SULLIVAN MOUNTJOY PSC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
608 FREDERICA ST, STE 201, OWENSBORO, KY, 42301
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-05 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2022
|
610673590
|
2023-06-28
|
SULLIVAN MOUNTJOY PSC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
1925 FREDERICA ST, SUITE 210, OWENSBORO, KY, 42301
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-28 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-28 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2021
|
610673590
|
2022-07-28
|
SULLIVAN MOUNTJOY PSC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
100 SAINT ANN ST, OWENSBORO, KY, 42302
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-28 |
| Name of individual signing |
KAYCIE OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2020
|
610673590
|
2021-06-11
|
SULLIVAN MOUNTJOY PSC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
100 SAINT ANN ST, OWENSBORO, KY, 42303
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-11 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-06-11 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2019
|
610673590
|
2020-07-16
|
SULLIVAN MOUNTJOY PSC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
100 SAINT ANN ST, PO BOX 727, OWENSBORO, KY, 42302
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-16 |
| Name of individual signing |
KAYCIE N OAKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SULLIVAN MOUNTJOY PSC 401K PROFIT SHARING PLAN
|
2018
|
610673590
|
2019-07-27
|
SULLIVAN MOUNTJOY PSC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
2709264000
|
| Plan sponsor’s
address |
100 SAINT ANN ST, PO BOX 727, OWENSBORO, KY, 42302
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-27 |
| Name of individual signing |
JESSE T MOUNTJOY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-07-27 |
| Name of individual signing |
JESSE T MOUNTJOY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
