PRIME TIME PHYSICAL THERAPY PLLC PROFIT SHARING 401 (K) PLAN
|
2022
|
204059996
|
2023-09-02
|
PRIME TIME PHYSICAL THERAPY PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
5029958844
|
Plan sponsor’s mailing address |
10116 DIXIE HWY, LOUISVILLE, KY, 402723948
|
Plan sponsor’s
address |
10116 DIXIE HWY, LOUISVILLE, KY, 402723948
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-09-02 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401 (K) PLAN
|
2014
|
204059996
|
2015-07-20
|
PRIME TIME PHYSICAL THERAPY , PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
5029958844
|
Plan sponsor’s mailing address |
10116 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
10116 DIXIE HWY, LOUISVILLE, KY, 40272
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY , PLLC, PROFIT SHARING 401 (K) PLAN
|
2013
|
204059996
|
2014-06-21
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
5029958844
|
Plan sponsor’s mailing address |
10116 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
10116 DIXIE HWY, LOUISVILLE, KY, 40272
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-06-21 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401 (K) PLAN
|
2012
|
204059996
|
2013-09-13
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Plan sponsor’s mailing address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-13 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401 (K) PLAN
|
2012
|
204059996
|
2013-09-13
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Plan sponsor’s mailing address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-13 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401(K) PLAN
|
2011
|
204059996
|
2012-10-06
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Plan sponsor’s mailing address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272
|
Plan administrator’s name and address
Administrator’s EIN |
204059996 |
Plan administrator’s name |
PRIME TIME PHYSICAL THERAPY, PLLC |
Plan administrator’s
address |
9616 DIXIE HWY, LOUISVILLE, KY, 40272 |
Administrator’s telephone number |
5029958844 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-10-06 |
Name of individual signing |
JOSE THOMAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401(K) PLAN
|
2010
|
204059996
|
2011-09-14
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
5029958844
|
Plan sponsor’s mailing address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272
|
Plan administrator’s name and address
Administrator’s EIN |
204059996 |
Plan administrator’s name |
PRIME TIME PHYSICAL THERAPY, PLLC |
Plan administrator’s
address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272 |
Administrator’s telephone number |
5029958844 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRIME TIME PHYSICAL THERAPY, PLLC, PROFIT SHARING 401(K) PLAN
|
2009
|
204059996
|
2010-07-30
|
PRIME TIME PHYSICAL THERAPY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
5029958844
|
Plan sponsor’s mailing address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272
|
Plan sponsor’s
address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272
|
Plan administrator’s name and address
Administrator’s EIN |
204059996 |
Plan administrator’s name |
PRIME TIME PHYSICAL THERAPY, PLLC |
Plan administrator’s
address |
9616 DIXIE HIGHWAY, LOUISVILLE, KY, 40272 |
Administrator’s telephone number |
5029958844 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|