|
EAST KY CLINIC 401(K) PLAN
|
2023
|
461871402
|
2024-07-07
|
EAST KY CLINIC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-07 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2022
|
461871402
|
2023-06-16
|
EAST KY CLINIC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-16 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2021
|
461871402
|
2022-10-01
|
EAST KY CLINIC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-01 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2020
|
461871402
|
2021-07-20
|
EAST KY CLINIC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-20 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2019
|
461871402
|
2020-07-12
|
EAST KY CLINIC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-12 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2018
|
461871402
|
2019-07-21
|
EAST KY CLINIC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST, PAINTSVILLE, KY, 412401046
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-21 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2017
|
461871402
|
2018-07-26
|
EAST KY CLINIC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST., PAINTSVILLE, KY, 41240
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-26 |
| Name of individual signing |
DR. LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EAST KY CLINIC 401(K) PLAN
|
2016
|
461871402
|
2017-09-26
|
EAST KY CLINIC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6067896086
|
| Plan sponsor’s
address |
538 MAIN ST., PAINTSVILLE, KY, 41240
|
Signature of
| Role |
Plan administrator |
| Date |
2017-09-26 |
| Name of individual signing |
LOEY KOUSA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
