ASHLAND CHILDREN'S CLINIC
|
2023
|
610975206
|
2024-07-16
|
ASHLAND CHILDREN'S CLINIC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063290204
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2022
|
610975206
|
2023-06-25
|
ASHLAND CHILDREN'S CLINIC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063290204
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2023-06-25 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2021
|
610975206
|
2022-09-06
|
ASHLAND CHILDREN'S CLINIC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063290204
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2022-09-06 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2020
|
610975206
|
2021-07-06
|
ASHLAND CHILDREN'S CLINIC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2019
|
610975206
|
2020-06-30
|
ASHLAND CHILDREN'S CLINIC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2018
|
610975206
|
2019-07-18
|
ASHLAND CHILDREN'S CLINIC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2017
|
610975206
|
2018-06-26
|
ASHLAND CHILDREN'S CLINIC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2016
|
610975206
|
2017-07-06
|
ASHLAND CHILDREN'S CLINIC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 41101
|
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2015
|
610975206
|
2016-07-06
|
ASHLAND CHILDREN'S CLINIC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063291664
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2014
|
610975206
|
2015-07-22
|
ASHLAND CHILDREN'S CLINIC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6063290204
|
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDREN'S CLINIC
|
2013
|
610975206
|
2014-07-24
|
ASHLAND CHILDREN'S CLINIC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/24/20140724095441P030016928015001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1980-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6063291664 |
Plan sponsor’s
address |
700 13TH ST, ASHLAND, KY, 411012620 |
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASHLAND CHILDRENS CLINIC
|
2012
|
610975206
|
2013-07-11
|
ASHLAND CHILDREN'S CLINIC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711132524P030381672833001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1980-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6063291664 |
Plan sponsor’s
address |
700 13TH ST, ATTN LORI WILBURN, ASHLAND, KY, 411012620 |
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
LORI WILBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|