WILLIAM R. DURHAM, MD, PLLC PROFIT SHARING PLAN
|
2014
|
611357948
|
2015-08-17
|
WILLIAM R. DURHAM, M.D., PLLC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Signature of
Role |
Plan administrator |
Date |
2015-08-17 |
Name of individual signing |
WILLIAM R. DURHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM R. DURHAM, MD, PLLC PROFIT SHARING PLAN
|
2013
|
611357948
|
2014-09-19
|
WILLIAM R. DURHAM, M.D., PLLC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Signature of
Role |
Plan administrator |
Date |
2014-09-19 |
Name of individual signing |
WILLIAM R. DURHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM R. DURHAM, MD, PLLC PROFIT SHARING PLAN
|
2012
|
611357948
|
2013-07-23
|
WILLIAM R. DURHAM, M.D., PLLC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Plan administrator’s name and address
Administrator’s EIN |
611357948 |
Plan administrator’s name |
WILLIAM R. DURHAM, M.D., PLLC. |
Plan administrator’s
address |
P.O. BOX 459, CORBIN, KY, 407020459 |
Administrator’s telephone number |
6065269664 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
WILLIAM R. DURHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM R. DURHAM, MD, PLLC PROFIT SHARING PLAN
|
2011
|
611357948
|
2012-10-05
|
WILLIAM R. DURHAM, M.D., PLLC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Plan administrator’s name and address
Administrator’s EIN |
611357948 |
Plan administrator’s name |
WILLIAM R. DURHAM, M.D., PLLC. |
Plan administrator’s
address |
P.O. BOX 459, CORBIN, KY, 407020459 |
Administrator’s telephone number |
6065269664 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
WILLIAM R. DURHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM R. DURHAM, M.D., PLLC PROFIT SHARING PLAN
|
2010
|
611357948
|
2011-05-09
|
WILLIAM R. DURHAM, M.D., PLLC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Plan administrator’s name and address
Administrator’s EIN |
611357948 |
Plan administrator’s name |
WILLIAM R. DURHAM, M.D., PLLC. |
Plan administrator’s
address |
P.O. BOX 459, CORBIN, KY, 407020459 |
Administrator’s telephone number |
6065269664 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
WILLIAM R. DURHAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILLIAM R. DURHAM, M.D., PLLC PROFIT SHARING PLAN
|
2009
|
611357948
|
2010-10-11
|
WILLIAM R. DURHAM, M.D., PLLC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6065269664
|
Plan sponsor’s
address |
P.O. BOX 459, CORBIN, KY, 407020459
|
Plan administrator’s name and address
Administrator’s EIN |
611357948 |
Plan administrator’s name |
WILLIAM R. DURHAM, M.D., PLLC. |
Plan administrator’s
address |
P.O. BOX 459, CORBIN, KY, 407020459 |
Administrator’s telephone number |
6065269664 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
LESLIE O'BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|