|
TOTAL WOMAN, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
352190275
|
2013-10-08
|
TOTAL WOMAN, PLLC
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028949494
|
| Plan sponsor’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-08 |
| Name of individual signing |
KIM ALUMBAUGH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-08 |
| Name of individual signing |
KIM ALUMBAUGH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TOTAL WOMAN, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
352190275
|
2012-10-12
|
TOTAL WOMAN, PLLC
|
59
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028949494
|
| Plan sponsor’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
| Administrator’s EIN |
352190275 |
| Plan administrator’s name |
TOTAL WOMAN, PLLC |
| Plan administrator’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207 |
| Administrator’s telephone number |
5028949494 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
CHARLOTTE GRANZOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-12 |
| Name of individual signing |
CHARLOTTE GRANZOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TOTAL WOMAN, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
352190275
|
2011-10-14
|
TOTAL WOMAN, PLLC
|
61
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028949494
|
| Plan sponsor’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
| Administrator’s EIN |
352190275 |
| Plan administrator’s name |
TOTAL WOMAN, PLLC |
| Plan administrator’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207 |
| Administrator’s telephone number |
5028949494 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-14 |
| Name of individual signing |
CHARLOTTE GRANZOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-14 |
| Name of individual signing |
CHARLOTTE GRANZOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TOTAL WOMAN, PLLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
352190275
|
2010-10-05
|
TOTAL WOMAN, PLLC
|
58
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028949494
|
| Plan sponsor’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
| Administrator’s EIN |
352190275 |
| Plan administrator’s name |
TOTAL WOMAN, PLLC |
| Plan administrator’s
address |
4121 DUTCHMANS LANE, SUITE 500, LOUISVILLE, KY, 40207 |
| Administrator’s telephone number |
5028949494 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-05 |
| Name of individual signing |
KIM ALUMBAUGH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-05 |
| Name of individual signing |
KIM ALUMBAUGH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
