FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2014
|
030468730
|
2015-10-15
|
FAMILY CARE CLINIC, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2013
|
030468730
|
2014-10-09
|
FAMILY CARE CLINIC, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2012
|
030468730
|
2013-10-10
|
FAMILY CARE CLINIC, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2011
|
030468730
|
2012-10-15
|
FAMILY CARE CLINIC, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 N. MAYSVILLE ROAD, #8, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2010
|
030468730
|
2011-10-12
|
FAMILY CARE CLINIC, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2009
|
030468730
|
2011-10-12
|
FAMILY CARE CLINIC, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
BRENDA DRENNEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY CARE CLINIC, PLLC 401(K) RETIREMENT SAVINGS PLAN
|
2009
|
030468730
|
2010-09-23
|
FAMILY CARE CLINIC, PLLC
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8594986006
|
Plan sponsor’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353
|
Plan administrator’s name and address
Administrator’s EIN |
030468730 |
Plan administrator’s name |
FAMILY CARE CLINIC, PLLC |
Plan administrator’s
address |
644 NORTH MAYSVILLE ROAD, MT. STERLING, KY, 40353 |
Administrator’s telephone number |
8594986006 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
LESLIE O'BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|