|
THE PAIN ASSOCIATES 401(K) PLAN
|
2018
|
461507241
|
2019-06-20
|
COMMONWEALTH PAIN ASSOCIATES, PLLC
|
100
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028557205
|
| Plan sponsor’s
address |
222 SOUTH FIRST STREET, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2019-06-20 |
| Name of individual signing |
BETTY CALDWELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE PAIN ASSOCIATES 401(K) PLAN
|
2018
|
461507241
|
2019-10-01
|
COMMONWEALTH PAIN ASSOCIATES, PLLC
|
100
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028557205
|
| Plan sponsor’s
address |
222 SOUTH FIRST STREET, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-01 |
| Name of individual signing |
BETTY CALDWELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE PAIN ASSOCIATES 401(K) PLAN
|
2017
|
461507241
|
2018-09-13
|
COMMONWEALTH PAIN ASSOCIATES, PLLC
|
53
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028557205
|
| Plan sponsor’s
address |
222 SOUTH FIRST STREET, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2018-09-13 |
| Name of individual signing |
LANCE KESTERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE PAIN ASSOCIATES 401(K) PLAN
|
2016
|
461507241
|
2017-09-20
|
COMMONWEALTH PAIN ASSOCIATES, PLLC
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028557205
|
| Plan sponsor’s
address |
222 SOUTH FIRST STREET, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2017-09-20 |
| Name of individual signing |
NANCY CASSENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE PAIN ASSOCIATES 401(K) PLAN
|
2015
|
461507241
|
2016-09-16
|
COMMONWEALTH PAIN ASSOCIATES, PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028557205
|
| Plan sponsor’s
address |
222 SOUTH FIRST STREET, LOUISVILLE, KY, 40202
|
Signature of
| Role |
Plan administrator |
| Date |
2016-09-16 |
| Name of individual signing |
NANCY CASSENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
