JASON T RICE DO PSC CROSS-TESTED 401(K) PLAN
|
2020
|
383699860
|
2021-10-15
|
JASON T RICE DO PSC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 412400628
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS TESTED 401(K) PLAN
|
2019
|
383699860
|
2020-10-15
|
JASON T RICE DO PSC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 412400628
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
ROBERT FRALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
ROBERT FRALEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS-TESTED 401(K) PLAN
|
2018
|
383699860
|
2019-10-15
|
JASON T RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 412400628
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS-TESTED 401(K) PLAN
|
2017
|
383699860
|
2018-10-15
|
JASON T RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 412400628
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS TESTED PLAN
|
2016
|
383699860
|
2017-10-11
|
JASON T RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 412400628
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-11 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS TESTED PLAN
|
2015
|
383699860
|
2016-10-17
|
JASON T RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS-TESTED PLAN
|
2014
|
383699860
|
2015-09-14
|
JASON T. RICE DO PSC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240
|
Signature of
Role |
Plan administrator |
Date |
2015-09-14 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-14 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS-TESTED 401K PLAN
|
2011
|
383699860
|
2012-09-20
|
JASON T RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240
|
Plan administrator’s name and address
Administrator’s EIN |
383699860 |
Plan administrator’s name |
JASON T RICE DO PSC |
Plan administrator’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240 |
Administrator’s telephone number |
6067880303 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T RICE DO PSC CROSS -TESTED 401K PLAN
|
2010
|
383699860
|
2011-09-15
|
JASON T. RICE DO PSC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240
|
Plan administrator’s name and address
Administrator’s EIN |
383699860 |
Plan administrator’s name |
JASON T. RICE DO PSC |
Plan administrator’s
address |
PO BOX 628, PAINTSVILLE, KY, 41240 |
Administrator’s telephone number |
6067880303 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JASON T. RICE DO PSC CROSS-TESTED 401K PLAN
|
2009
|
383699860
|
2010-09-02
|
JASON T. RICE DO PSC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6067880303
|
Plan sponsor’s
address |
313 WEST STREET, SUITE 1, PAINTSVILLE, KY, 41240
|
Plan administrator’s name and address
Administrator’s EIN |
383699860 |
Plan administrator’s name |
JASON T RICE DO PSC |
Plan administrator’s
address |
313 WEST STREET, SUITE 1, PAINTSVILLE, KY, 41240 |
Administrator’s telephone number |
6067880303 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
JASON RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|