MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST
|
2021
|
611179151
|
2022-07-14
|
MAYFIELD RADIOLOGISTS, P.S.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
PO BOX 918, MAYFIELD, KY, 420660039
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
STEPHEN ELLIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-14 |
Name of individual signing |
STEPHEN ELLIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST
|
2020
|
611179151
|
2021-07-04
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Signature of
Role |
Plan administrator |
Date |
2021-07-04 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-04 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST
|
2019
|
611179151
|
2020-06-15
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-15 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P. S. C. PROFIT SHARING TRUST
|
2018
|
611179151
|
2019-08-16
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Signature of
Role |
Plan administrator |
Date |
2019-08-16 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-16 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST
|
2010
|
611179151
|
2011-06-29
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Plan administrator’s name and address
Administrator’s EIN |
611179151 |
Plan administrator’s name |
MAYFIELD RADIOLOGISTS, P.S.C. |
Plan administrator’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066 |
Administrator’s telephone number |
2702478710 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST
|
2009
|
611179151
|
2010-06-02
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Plan administrator’s name and address
Administrator’s EIN |
611179151 |
Plan administrator’s name |
MAYFIELD RADIOLOGISTS, P.S.C. |
Plan administrator’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066 |
Administrator’s telephone number |
2702478710 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-06-02 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAYFIELD RADIOLOGISTS, P.S.C. PROFIT SHARING TRUST
|
2009
|
611179151
|
2010-06-08
|
MAYFIELD RADIOLOGISTS, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-04-16
|
Business code |
621111
|
Sponsor’s telephone number |
2702478710
|
Plan sponsor’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066
|
Plan administrator’s name and address
Administrator’s EIN |
611179151 |
Plan administrator’s name |
MAYFIELD RADIOLOGISTS, P.S.C. |
Plan administrator’s
address |
P.O. BOX 918, MAYFIELD, KY, 42066 |
Administrator’s telephone number |
2702478710 |
Signature of
Role |
Plan administrator |
Date |
2010-06-07 |
Name of individual signing |
JOHN BEASLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|