|
FRANKFORT FAMILY MEDICINE, PLLC 401 (K) PROFIT SHARING PLAN
|
2011
|
043794585
|
2012-10-10
|
FRANKFORT FAMILY MEDICINE, PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-06-30
|
| Business code |
621111
|
| Sponsor’s telephone number |
5022230308
|
| Plan sponsor’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601
|
Plan administrator’s name and address
| Administrator’s EIN |
043794585 |
| Plan administrator’s name |
FRANKFORT FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5022230308 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
FRANK DONALD FARLEY III |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANKFORT FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2011
|
043794585
|
2012-10-01
|
FRANKFORT FAMILY MEDICINE, PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-06-30
|
| Business code |
621111
|
| Sponsor’s telephone number |
5022230308
|
| Plan sponsor’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601
|
Plan administrator’s name and address
| Administrator’s EIN |
043794585 |
| Plan administrator’s name |
FRANKFORT FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5022230308 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-01 |
| Name of individual signing |
FRANK DONALD FARLEY III |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANKFORT FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2010
|
043794585
|
2011-04-08
|
FRANKFORT FAMILY MEDICINE, PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-06-30
|
| Business code |
621111
|
| Sponsor’s telephone number |
5022230308
|
| Plan sponsor’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601
|
Plan administrator’s name and address
| Administrator’s EIN |
043794585 |
| Plan administrator’s name |
FRANKFORT FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5022230308 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-08 |
| Name of individual signing |
FRANK DONALD FARLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRANKFORT FAMILY MEDICINE, PLLC 401(K) PROFIT SHARING PLAN
|
2009
|
043794585
|
2010-06-03
|
FRANKFORT FAMILY MEDICINE, PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-06-30
|
| Business code |
621111
|
| Sponsor’s telephone number |
5022230308
|
| Plan sponsor’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601
|
Plan administrator’s name and address
| Administrator’s EIN |
043794585 |
| Plan administrator’s name |
FRANKFORT FAMILY MEDICINE, PLLC |
| Plan administrator’s
address |
593 EAST MAIN STREET, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5022230308 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-03 |
| Name of individual signing |
JENNIFER LEWIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-03 |
| Name of individual signing |
JENNIFER LEWIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
