DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2023
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810572206
|
2024-03-18
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DAVID G. SANFORD, M.D., P.S.C.
|
5
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2022
|
810572206
|
2023-07-21
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DAVID G. SANFORD, M.D., P.S.C.
|
10
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2021
|
810572206
|
2022-08-22
|
DAVID G. SANFORD, M.D., P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2020
|
810572206
|
2021-09-24
|
DAVID G. SANFORD, M.D., P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2019
|
810572206
|
2020-02-25
|
DAVID G. SANFORD, M.D., P.S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2018
|
810572206
|
2019-07-16
|
DAVID G. SANFORD, M.D., P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
DAVID SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-16 |
Name of individual signing |
DAVID SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID G. SANFORD, M. D. , PSC 401(K) RETIREMENT PLAN
|
2017
|
810572206
|
2018-07-23
|
DAVID G. SANFORD, M.D., P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6062480932
|
Plan sponsor’s
address |
1502 CUMBERLAND AVENUE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
DAVID SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-23 |
Name of individual signing |
DAVID SANFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|