ONE PEDIATRICS, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2015
|
300774617
|
2016-08-17
|
ONE PEDIATRICS, PLLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028968868
|
Plan sponsor’s
address |
4171 WESTPORT RD., LOUISVILLE, KY, 40207
|
|
ONE PEDIATRICS, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2014
|
300774617
|
2015-10-15
|
ONE PEDIATRICS, PLLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028968868
|
Plan sponsor’s
address |
4171 WESTPORT RD., LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
STEPHEN CHURCH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2014
|
610678616
|
2015-10-14
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024526337
|
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
DR. DAVID KATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2014
|
610700999
|
2015-07-08
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024487853
|
Plan sponsor’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2014
|
610700999
|
2015-07-08
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024487853
|
Plan sponsor’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2013
|
610700999
|
2014-06-30
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024487853
|
Plan sponsor’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2013
|
610678616
|
2014-07-17
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024526337
|
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218
|
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
DR. DAVID KATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2012
|
610700999
|
2013-02-08
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024487853
|
Plan sponsor’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216
|
Signature of
Role |
Plan administrator |
Date |
2013-02-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-07 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2012
|
610678616
|
2013-07-16
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024526337
|
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
DR. DAVID KATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2011
|
610678616
|
2012-07-30
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1969-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
5024526337
|
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218
|
Plan administrator’s name and address
Administrator’s EIN |
610678616 |
Plan administrator’s name |
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. |
Plan administrator’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024526337 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
DR. DAVID KATZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2011
|
610700999
|
2012-02-09
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
25
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/09/20120209083207P030145234736001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1969-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024487853 |
Plan sponsor’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216 |
Plan administrator’s name and address
Administrator’s EIN |
610700999 |
Plan administrator’s name |
SOUTH LOUISVILLE PEDIATRICS, P.S.C. |
Plan administrator’s
address |
5120 DIXIE HIGHWAY, SUITE 101, LOUISVILLE, KY, 40216 |
Administrator’s telephone number |
5024487853 |
Signature of
Role |
Plan administrator |
Date |
2012-02-08 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-08 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2010
|
610678616
|
2011-07-08
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
33
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/08/20110708100138P040092357265001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1969-03-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024526337 |
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Plan administrator’s name and address
Administrator’s EIN |
610678616 |
Plan administrator’s name |
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. |
Plan administrator’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024526337 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
JOHN B. ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2010
|
610700999
|
2011-02-22
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
27
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/22/20110222102618P030014196193001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1969-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024487853 |
Plan sponsor’s
address |
5129 DIXIE HIGHWAY, SUITE 201, LOUISVILLE, KY, 40216 |
Plan administrator’s name and address
Administrator’s EIN |
610700999 |
Plan administrator’s name |
SOUTH LOUISVILLE PEDIATRICS, P.S.C. |
Plan administrator’s
address |
5129 DIXIE HIGHWAY, SUITE 201, LOUISVILLE, KY, 40216 |
Administrator’s telephone number |
5024487853 |
Signature of
Role |
Plan administrator |
Date |
2011-02-21 |
Name of individual signing |
STEVE J. KAMBER, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-21 |
Name of individual signing |
STEVE J. KAMBER, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2009
|
610678616
|
2010-07-09
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
32
|
|
Three-digit plan number (PN) |
002 |
Effective date of plan |
1969-03-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024526337 |
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Plan administrator’s name and address
Administrator’s EIN |
610678616 |
Plan administrator’s name |
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. |
Plan administrator’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024526337 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
JOHN B. ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
JOHN B. ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. PROFIT SHARING PLAN
|
2009
|
610678616
|
2010-07-09
|
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C.
|
32
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/09/20100709125406P030363161889001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1969-03-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024526337 |
Plan sponsor’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Plan administrator’s name and address
Administrator’s EIN |
610678616 |
Plan administrator’s name |
KAPLAN, BARRON, ROTH, LEHOCKY & KATZ, P.S.C. |
Plan administrator’s
address |
3333 BARDSTOWN RD., LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024526337 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
JOHN B. ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
JOHN B. ROTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C. PROFIT SHARING PLAN
|
2009
|
610700999
|
2010-06-21
|
SOUTH LOUISVILLE PEDIATRICS, P.S.C.
|
26
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/21/20100621144757P030030343399001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1969-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
5024487853 |
Plan sponsor’s
address |
5129 DIXIE HIGHWAY, SUITE 201, LOUISVILLE, KY, 40216 |
Plan administrator’s name and address
Administrator’s EIN |
610700999 |
Plan administrator’s name |
SOUTH LOUISVILLE PEDIATRICS, P.S.C. |
Plan administrator’s
address |
5129 DIXIE HIGHWAY, SUITE 201, LOUISVILLE, KY, 40216 |
Administrator’s telephone number |
5024487853 |
Signature of
Role |
Plan administrator |
Date |
2010-06-21 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-21 |
Name of individual signing |
STEVEN KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|