PATRICK J. MCCAULEY, D. M. D. , P. S. C. DEFINED BENEFIT PLAN AND TRUST
|
2014
|
611108827
|
2015-08-14
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C.
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9
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Signature of
Role |
Plan administrator |
Date |
2015-08-14 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-14 |
Name of individual signing |
PATRICK J MCCAULEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C. DEFINED BENEFIT PLAN AND TRUST
|
2013
|
611108827
|
2014-10-13
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D.M.D., DEFINED BENEFIT TRUS
|
2012
|
611108827
|
2013-10-10
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-10 |
Name of individual signing |
PATRICK J. MCCAULEY,D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D.M.D., P.S.C. DEFINED BENEF T TRUST
|
2011
|
611108827
|
2012-10-10
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Plan administrator’s name and address
Administrator’s EIN |
611108827 |
Plan administrator’s name |
PATRICK J. MCCAULEY, D. M. D. , P. S. C. |
Plan administrator’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001 |
Administrator’s telephone number |
8596357471 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
PATRICK J. MCCAULEY,D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D. M. D. , P. S. C. DEFINED TRUST
|
2010
|
611108827
|
2011-09-28
|
PATRICK J. MCCAULEY, D.M.D. P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Plan administrator’s name and address
Administrator’s EIN |
611108827 |
Plan administrator’s name |
PATRICK J. MCCAULEY, D.M.D. P.S.C. |
Plan administrator’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001 |
Administrator’s telephone number |
8596357471 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D. M. D., P. S. C. DEFINED BENEFIT PLAN
|
2009
|
611108827
|
2010-10-06
|
PATRICK J. MCCAULEY, D.M.D., P.S.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Plan administrator’s name and address
Administrator’s EIN |
611108827 |
Plan administrator’s name |
PATRICK J. MCCAULEY, D.M.D., P.S.C. |
Plan administrator’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001 |
Administrator’s telephone number |
8596357471 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D., P.S.C. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK J. MCCAULEY, D. M. D., P. S. C. DEFINED BENEFIT PLAN
|
2009
|
611108827
|
2010-10-05
|
PATRICK J. MCCAULEY, D.M.D., P.S.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-09-01
|
Business code |
621210
|
Sponsor’s telephone number |
8596357471
|
Plan sponsor’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
|
Plan administrator’s name and address
Administrator’s EIN |
611108827 |
Plan administrator’s name |
PATRICK J. MCCAULEY, D.M.D., P.S.C. |
Plan administrator’s
address |
7577 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001 |
Administrator’s telephone number |
8596357471 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
PATRICK J. MCCAULEY, D.M.D., P.S.C. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|