PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2020
|
611281680
|
2021-08-03
|
PADUCAH PRIMARY CARE, P.S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
4620 VILLAGE SQUARE DR., PADUCAH, KY, 42001
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2019
|
611281680
|
2020-07-31
|
PADUCAH PRIMARY CARE, P.S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
4620 VILLAGE SQUARE DR., PADUCAH, KY, 42001
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2018
|
611281680
|
2019-04-24
|
PADUCAH PRIMARY CARE, P.S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2019-04-24 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-24 |
Name of individual signing |
RONALD WILSON, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2017
|
611281680
|
2018-03-27
|
PADUCAH PRIMARY CARE, P.S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2018-03-27 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-27 |
Name of individual signing |
RONALD WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2016
|
611281680
|
2017-07-05
|
PADUCAH PRIMARY CARE, P.S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-05 |
Name of individual signing |
RONALD WILSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2015
|
611281680
|
2016-04-04
|
PADUCAH PRIMARY CARE, P.S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2016-04-04 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-04 |
Name of individual signing |
RONAL WILSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2014
|
611281680
|
2015-04-06
|
PADUCAH PRIMARY CARE, P.S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2015-04-06 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-06 |
Name of individual signing |
RONALD WILSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2013
|
611281680
|
2014-03-25
|
PADUCAH PRIMARY CARE, P.S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
PO BOX 9100, PADUCAH, KY, 420029100
|
Signature of
Role |
Plan administrator |
Date |
2014-03-25 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-25 |
Name of individual signing |
RONALD WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2012
|
611281680
|
2013-05-16
|
PADUCAH PRIMARY CARE, P.S.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
2601 KENTUCKY AVENUE, STE. 101, PO BOX 9100, PADUCAH, KY, 42002
|
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-16 |
Name of individual signing |
RONALD WILSON MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PADUCAH PRIMARY CARE, P.S.C. 401(K) PROFIT SHARING TRUST
|
2011
|
611281680
|
2012-05-03
|
PADUCAH PRIMARY CARE, P.S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2704428575
|
Plan sponsor’s
address |
2601 KENTUCKY AVENUE, STE. 101, PO BOX 9100, PADUCAH, KY, 42002
|
Plan administrator’s name and address
Administrator’s EIN |
611281680 |
Plan administrator’s name |
PADUCAH PRIMARY CARE, P.S.C. |
Plan administrator’s
address |
2601 KENTUCKY AVENUE, STE. 101, PO BOX 9100, PADUCAH, KY, 42002 |
Administrator’s telephone number |
2704428575 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
RONALD WILSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|