|
ST MATTHEWS PHARMACY PLLC 401K PLAN
|
2023
|
813975173
|
2024-08-13
|
ST MATTHEWS PHARMACY PLLC
|
92
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8595523334
|
| Plan sponsor’s
address |
6004 NEW CUT ROAD, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-13 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ST MATTHEWS PHARMACY PLLC 401K PLAN
|
2022
|
813975173
|
2023-08-24
|
ST MATTHEWS PHARMACY PLLC
|
92
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8595523334
|
| Plan sponsor’s
address |
6004 NEW CUT ROAD, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-24 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ST MATTHEWS PHARMACY PLLC 401K PLAN
|
2021
|
813975173
|
2022-07-29
|
ST MATTHEWS PHARMACY PLLC
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8595523334
|
| Plan sponsor’s
address |
6004 NEW CUT ROAD, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-29 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ST MATTHEWS PHARMACY PLLC 401K PLAN
|
2020
|
813975173
|
2021-07-26
|
ST MATTHEWS PHARMACY PLLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8595523334
|
| Plan sponsor’s
address |
6004 NEW CUT ROAD, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES LLC |
| Plan administrator’s
address |
6501 DEAN HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-26 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ST MATTHEWS PHARMACY PLLC 401K PLAN
|
2019
|
813975173
|
2020-05-29
|
ST MATTHEWS PHARMACY PLLC
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8595523334
|
| Plan sponsor’s
address |
6004 NEW CUT ROAD, CRESTWOOD, KY, 40014
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-29 |
| Name of individual signing |
CLAY RHODES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
