NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2021
|
611273999
|
2022-05-17
|
NEUROSURGERY, P. S. C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708862251
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2022-05-17 |
Name of individual signing |
S. PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-17 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2020
|
611273999
|
2021-08-18
|
NEUROSURGERY, P. S. C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708862251
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2021-08-18 |
Name of individual signing |
S. PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-18 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2019
|
611273999
|
2020-08-26
|
NEUROSURGERY, P. S. C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2020-08-26 |
Name of individual signing |
S. PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2018
|
611273999
|
2019-10-01
|
NEUROSURGERY, P. S. C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
S. PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2017
|
611273999
|
2018-07-13
|
NEUROSURGERY, P. S. C.
|
4
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2016
|
611273999
|
2017-06-09
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-08 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2015
|
611273999
|
2016-04-29
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2016-04-27 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-27 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2014
|
611273999
|
2015-04-30
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-29 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2013
|
611273999
|
2014-05-13
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2014-05-12 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-12 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2012
|
611273999
|
2013-04-01
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2708861944
|
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240
|
Signature of
Role |
Plan administrator |
Date |
2013-03-29 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2011
|
611273999
|
2012-04-12
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/12/20120412074739P030020945687001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2708861944 |
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Plan administrator’s name and address
Administrator’s EIN |
611273999 |
Plan administrator’s name |
NEUROSURGERY, P.S.C. |
Plan administrator’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Administrator’s telephone number |
2708861944 |
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2010
|
611273999
|
2011-04-07
|
NEUROSURGERY, P.S.C.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/07/20110407061250P030006340998001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2708861944 |
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Plan administrator’s name and address
Administrator’s EIN |
611273999 |
Plan administrator’s name |
NEUROSURGERY, P.S.C. |
Plan administrator’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Administrator’s telephone number |
2708861944 |
Signature of
Role |
Plan administrator |
Date |
2011-04-06 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGERY, P.S.C. RETIREMENT SAVINGS PLAN
|
2009
|
611273999
|
2010-07-07
|
NEUROSURGERY, P.S.C.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/07/20100707083037P040016508788001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
2708861944 |
Plan sponsor’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Plan administrator’s name and address
Administrator’s EIN |
611273999 |
Plan administrator’s name |
NEUROSURGERY, P.S.C. |
Plan administrator’s
address |
390 WEST 17TH STREET, HOPKINSVILLE, KY, 42240 |
Administrator’s telephone number |
2708861944 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
SRINIVASAN PERIYANAYAGAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|