MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2018
|
611456454
|
2019-10-03
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2017
|
611456454
|
2019-06-19
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2016
|
611456454
|
2018-05-30
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2015
|
611456454
|
2017-05-24
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2014
|
611456454
|
2016-06-30
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2013
|
611456454
|
2015-02-23
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2013
|
611456454
|
2016-06-30
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC DEFINED BENEFIT PLAN
|
2012
|
611456454
|
2014-02-18
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2014-02-18 |
Name of individual signing |
DIANE HEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL SPECIALISTS OF KENTUCKIAN, PLLC DEFINED BENEFIT PLAN
|
2010
|
611456454
|
2012-05-30
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s mailing address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611456454 |
Plan administrator’s name |
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC |
Plan administrator’s
address |
1013 DUPONT SQUARE NORTH, SUITE A, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028966166 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
DIANE HEBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL SPECIALISTS OF KENTUCKIAN, PLLC DEFINED BENEFIT PLAN
|
2009
|
611456454
|
2011-07-26
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
5028966166
|
Plan sponsor’s mailing address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207
|
Plan sponsor’s
address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611456454 |
Plan administrator’s name |
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC |
Plan administrator’s
address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028966166 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
JAMES CONSOLATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL SPECIALISTS OF KENTUCKIAN, PLLC DEFINED BENEFIT PLAN
|
2009
|
611456454
|
2011-03-12
|
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/12/20110312090648P040024290817001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-12-01 |
Business code |
621111 |
Sponsor’s telephone number |
5028966166 |
Plan sponsor’s mailing address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207 |
Plan sponsor’s
address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611456454 |
Plan administrator’s name |
MEDICAL SPECIALISTS OF KENTUCKIANA, PLLC |
Plan administrator’s
address |
1013 DUPONT SQUARE NORT, SUITE A, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028966166 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-03-12 |
Name of individual signing |
JAMES CONSOLATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|