SALAMEH PLASTIC SURGERY CBS BENEFIT PLAN
|
2022
|
811162434
|
2023-12-27
|
SALAMEH PLASTIC SURGERY
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
621491
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE C1, BOWLING GREEN, KY, 42103
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2023-12-27 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY CBS BENEFIT PLAN
|
2021
|
811162434
|
2022-12-29
|
SALAMEH PLASTIC SURGERY
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
621491
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE C1, BOWLING GREEN, KY, 42103
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2022-12-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY CBS BENEFIT PLAN
|
2020
|
811162434
|
2021-12-14
|
SALAMEH PLASTIC SURGERY
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
621491
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE C1, BOWLING GREEN, KY, 42103
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2021-12-14 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
811162434
|
2020-07-23
|
SALAMEH PLASTIC SURGERY, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE C-1, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
BERNARD SALAMEH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
811162434
|
2020-07-23
|
SALAMEH PLASTIC SURGERY, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE C-1, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
BERNARD SALAMEH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
811162434
|
2019-07-18
|
SALAMEH PLASTIC SURGERY, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE C-1, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
BERNARD SALAMEH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALAMEH PLASTIC SURGERY, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
811162434
|
2018-10-15
|
SALAMEH PLASTIC SURGERY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2709047791
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE C-1, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
BERNARD SALAMEH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|