JYOTIN CHANDARANA MD 401(K) PLAN
|
2016
|
611389529
|
2017-10-24
|
NARODA MEDICAL PLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064877992
|
Plan sponsor’s
address |
215 ARGILE CIRCLE, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2017-10-24 |
Name of individual signing |
JYOTIN V CHANDRANA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-24 |
Name of individual signing |
JYOTIN V CHANDARA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2016
|
611389529
|
2017-07-26
|
NARODA MEDICAL, PLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064877992
|
Plan sponsor’s
address |
215 ARGILE CIRCLE, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
JYOTIN V. CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-26 |
Name of individual signing |
JYOTIN V. CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2015
|
611389529
|
2016-07-19
|
NARODA MEDICAL, PLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064877992
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
JYOTIN V. CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
JYOTIN V. CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2014
|
611389529
|
2015-07-27
|
NARODA MEDICAL, PLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064877992
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-27 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2013
|
611389529
|
2014-07-24
|
NARODA MEDICAL, PLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064365763
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2012
|
611389529
|
2013-07-29
|
NARODA MEDICAL, PLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064365763
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2011
|
611389529
|
2012-07-20
|
NARODA MEDICAL, PLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064365763
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Plan administrator’s name and address
Administrator’s EIN |
611389529 |
Plan administrator’s name |
NARODA MEDICAL, PLC |
Plan administrator’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701 |
Administrator’s telephone number |
6064365763 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-20 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2010
|
611389529
|
2011-08-02
|
NARODA MEDICAL, PLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064365763
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Plan administrator’s name and address
Administrator’s EIN |
611389529 |
Plan administrator’s name |
NARODA MEDICAL, PLC |
Plan administrator’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701 |
Administrator’s telephone number |
6064365763 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JYOTIN CHANDARANA, MD, 401(K) PLAN
|
2010
|
611389529
|
2011-08-02
|
NARODA MEDICAL, PLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6064365763
|
Plan sponsor’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701
|
Plan administrator’s name and address
Administrator’s EIN |
611389529 |
Plan administrator’s name |
NARODA MEDICAL, PLC |
Plan administrator’s
address |
200 MEDICAL CENTER DRIVE, UNIT 1P, HAZARD, KY, 41701 |
Administrator’s telephone number |
6064365763 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
JYOTIN CHANDARANA, MD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|