|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2016
|
610977734
|
2017-06-27
|
DR. CHRIS DAVIS, PSC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
833 LANE ALLEN ROAD, LEXINGTON, KY, 40504
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-27 |
| Name of individual signing |
AMBER N DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2015
|
610977734
|
2016-06-08
|
DR. CHRIS DAVIS, PSC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
833 LANE ALLEN ROAD, LEXINGTON, KY, 40504
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-08 |
| Name of individual signing |
AMBER DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-06-08 |
| Name of individual signing |
AMBER DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2014
|
610977734
|
2015-06-15
|
DR. CHRIS DAVIS, PSC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
833 LANE ALLEN ROAD, LEXINGTON, KY, 40504
|
Signature of
| Role |
Plan administrator |
| Date |
2015-06-15 |
| Name of individual signing |
AMBER N. DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-06-15 |
| Name of individual signing |
AMBER N. DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2013
|
610977734
|
2014-04-21
|
DR. CHRIS DAVIS, PSC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
1750 ALEXANDRIA DRIVE, STE 1, LEXINGTON, KY, 40504
|
Signature of
| Role |
Plan administrator |
| Date |
2014-04-21 |
| Name of individual signing |
AMBER N. DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2012
|
610977734
|
2013-04-10
|
DR. CHRIS DAVIS, PSC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
1750 ALEXANDRIA DRIVE STE 1, LEXINGTON, KY, 40504
|
Signature of
| Role |
Plan administrator |
| Date |
2013-04-10 |
| Name of individual signing |
AMBER N. DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DR. CHRIS DAVIS, PSC 401(K) PROFIT SHARING PLAN
|
2011
|
610977734
|
2012-09-10
|
DR. CHRIS DAVIS, PSC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8592771189
|
| Plan sponsor’s
address |
1750 ALEXANDRIA DRIVE, SUITE 1, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
| Administrator’s EIN |
610977734 |
| Plan administrator’s name |
DR. CHRIS DAVIS, PSC |
| Plan administrator’s
address |
1750 ALEXANDRIA DRIVE, SUITE 1, LEXINGTON, KY, 40504 |
| Administrator’s telephone number |
8592771189 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-10 |
| Name of individual signing |
AMBER N DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-10 |
| Name of individual signing |
DR. CHRIS DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
