ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2020
|
205127711
|
2021-10-13
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK ST, BOWLING GREEN, KY, 421011765
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-13 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2019
|
205127711
|
2020-10-12
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK STREET, BOWLING GREEN, KY, 421011765
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2019
|
205127711
|
2020-10-12
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK STREET, BOWLING GREEN, KY, 421011765
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2018
|
205127711
|
2019-07-23
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK STREET, BOWLING GREEN, KY, 421011765
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-23 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2017
|
205127711
|
2018-10-17
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK STREET, BOWLING GREEN, KY, 421011765
|
Signature of
Role |
Plan administrator |
Date |
2018-10-16 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-16 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2016
|
205127711
|
2017-10-16
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
523 PARK STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2015
|
205127711
|
2016-05-11
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2016-05-11 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-11 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2014
|
205127711
|
2015-07-23
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-23 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES, LLC 401(K) PLAN
|
2013
|
205127711
|
2014-09-25
|
ZIA NEUROLOGY ASSOCIATES, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE #A-7, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2014-09-25 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-25 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES LLC 401K PLAN
|
2012
|
200792657
|
2013-07-15
|
ZIA NEUROLOGY ASSOCIATES LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
2703938418
|
Plan sponsor’s
address |
996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES LLC 401K PLAN
|
2011
|
200792657
|
2012-08-07
|
ZIA NEUROLOGY ASSOCIATES LLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/07/20120807110120P040025065698001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2006-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
2703938418 |
Plan sponsor’s
address |
996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103 |
Plan administrator’s name and address
Administrator’s EIN |
200792657 |
Plan administrator’s name |
ZIA NEUROLOGY ASSOCIATES LLC |
Plan administrator’s
address |
996 WILKINSON TRACE SUITE #A-7, BOWLING GREEN, KY, 42103 |
Administrator’s telephone number |
2703938418 |
Signature of
Role |
Plan administrator |
Date |
2012-08-07 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES LLC 401K PLAN
|
2010
|
200792657
|
2011-09-19
|
ZIA NEUROLOGY ASSOCIATES LLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/19/20110919134507P040614796512001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2006-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
2703938418 |
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE A-7, BOWLING GREEN, KY, 42103 |
Plan administrator’s name and address
Administrator’s EIN |
200762657 |
Plan administrator’s name |
ZIA NEUROLOGY ASSOCIATES LLC |
Plan administrator’s
address |
996 WILKINSON TRACE SUITE A-7, BOWLING GREEN, KY, 42103 |
Administrator’s telephone number |
2703938418 |
Signature of
Role |
Plan administrator |
Date |
2011-09-19 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIA NEUROLOGY ASSOCIATES LLC 401K PLAN
|
2009
|
200792657
|
2010-07-08
|
ZIA NEUROLOGY ASSOCIATES LLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/08/20100708083856P040116741186028.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2006-08-01 |
Business code |
621111 |
Sponsor’s telephone number |
2703938418 |
Plan sponsor’s
address |
996 WILKINSON TRACE, SUITE A-7, BOWLING GREEN, KY, 42103 |
Plan administrator’s name and address
Administrator’s EIN |
200762657 |
Plan administrator’s name |
ZIA NEUROLOGY ASSOCIATES LLC |
Plan administrator’s
address |
996 WILKINSON TRACE SUITE A-7, BOWLING GREEN, KY, 42103 |
Administrator’s telephone number |
2703938418 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
AMIR ZIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|