MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLAN
|
2015
|
611048523
|
2016-06-29
|
MARK L. CRAWFORD, M.D., P.S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
MARK CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2014
|
611048523
|
2015-05-20
|
MARK L. CRAWFORD, M.D., P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Signature of
Role |
Plan administrator |
Date |
2015-05-20 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-20 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2013
|
611048523
|
2014-04-07
|
MARK L. CRAWFORD, M.D., P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Signature of
Role |
Plan administrator |
Date |
2014-04-07 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-07 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2012
|
611048523
|
2013-10-14
|
MARK L. CRAWFORD, M.D., P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2011
|
611048523
|
2012-08-06
|
MARK L. CRAWFORD, M.D., P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Plan administrator’s name and address
Administrator’s EIN |
611048523 |
Plan administrator’s name |
MARK L. CRAWFORD, M.D., P.S.C. |
Plan administrator’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003 |
Administrator’s telephone number |
2704159970 |
Signature of
Role |
Plan administrator |
Date |
2012-08-06 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-06 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2009
|
611048523
|
2010-10-18
|
MARK L. CRAWFORD, M.D., P.S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Plan administrator’s name and address
Administrator’s EIN |
611048523 |
Plan administrator’s name |
MARK L. CRAWFORD, M.D., P.S.C. |
Plan administrator’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003 |
Administrator’s telephone number |
2704159970 |
Signature of
Role |
Plan administrator |
Date |
2010-10-18 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-18 |
Name of individual signing |
MARK L CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK L. CRAWFORD, M.D., P.S.C. PROFIT SHARING PLA
|
2009
|
611048523
|
2010-10-15
|
MARK L. CRAWFORD, M.D., P.S.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704159970
|
Plan sponsor’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003
|
Plan administrator’s name and address
Administrator’s EIN |
611048523 |
Plan administrator’s name |
MARK L. CRAWFORD, M.D., P.S.C. |
Plan administrator’s
address |
1333 LONE OAK ROAD, PADUCAH, KY, 42003 |
Administrator’s telephone number |
2704159970 |
|