FIRST STOP URGENT CARE CENTER 401K PLAN AND TRUST
|
2012
|
841649267
|
2013-10-06
|
FIRST STOP URGENT CARE CENTER
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Signature of
Role |
Plan administrator |
Date |
2013-10-06 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-06 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER CASH BALANCE PENSION PLAN
|
2012
|
841649267
|
2013-05-13
|
FIRST STOP URGENT CARE CENTER
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Signature of
Role |
Plan administrator |
Date |
2013-05-13 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-13 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER CASH BALANCE PENSION PLAN
|
2011
|
841649267
|
2012-10-14
|
FIRST STOP URGENT CARE CENTER
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2012-10-14 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-14 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER 401K PLAN AND TRUST
|
2011
|
841649267
|
2012-10-14
|
FIRST STOP URGENT CARE CENTER
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2012-10-14 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-14 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER 401K PLAN AND TRUST
|
2010
|
841649267
|
2011-07-25
|
FIRST STOP URGENT CARE CENTER
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-25 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER CASH BALANCE PENSION PLAN
|
2010
|
841649267
|
2011-07-25
|
FIRST STOP URGENT CARE CENTER
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-25 |
Name of individual signing |
KDAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER 401K PLAN & TRUST
|
2009
|
841649267
|
2010-09-01
|
FIRST STOP URGENT CARE CENTER
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2010-09-01 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-01 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST STOP URGENT CARE CENTER CASH BALANCE PENSION PLAN
|
2009
|
841649267
|
2010-09-22
|
FIRST STOP URGENT CARE CENTER
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5022220028
|
Plan sponsor’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
841649267 |
Plan administrator’s name |
FIRST STOP URGENT CARE CENTER |
Plan administrator’s
address |
1006 NEW MOODY LANE, LA GRANGE, KY, 40031 |
Administrator’s telephone number |
5022220028 |
Signature of
Role |
Plan administrator |
Date |
2010-09-21 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-21 |
Name of individual signing |
KAMLESH DAVE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|