ONEFAMILYMD 401(K) P/S PLAN
|
2023
|
473415724
|
2024-09-11
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Signature of
Role |
Plan administrator |
Date |
2024-09-11 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-11 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONEFAMILYMD 401(K) P/S PLAN
|
2022
|
473415724
|
2023-10-16
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
Administrator’s EIN |
473415724 |
Plan administrator’s name |
ONEFAMILYMD |
Plan administrator’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014 |
Administrator’s telephone number |
5025586202 |
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONEFAMILYMD 401(K) P/S PLAN
|
2021
|
473415724
|
2022-07-15
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
Administrator’s EIN |
473415724 |
Plan administrator’s name |
ONEFAMILYMD |
Plan administrator’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014 |
Administrator’s telephone number |
5025586202 |
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONEFAMILYMD 401(K) P/S PLAN
|
2020
|
473415724
|
2021-06-06
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
Administrator’s EIN |
473415724 |
Plan administrator’s name |
ONEFAMILYMD |
Plan administrator’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014 |
Administrator’s telephone number |
5025586202 |
Signature of
Role |
Plan administrator |
Date |
2021-06-06 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONEFAMILYMD 401(K) P/S PLAN
|
2019
|
473415724
|
2020-07-06
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
Administrator’s EIN |
473415724 |
Plan administrator’s name |
ONEFAMILYMD |
Plan administrator’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014 |
Administrator’s telephone number |
5025586202 |
Signature of
Role |
Plan administrator |
Date |
2020-07-06 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ONEFAMILYMD 401(K) P/S PLAN
|
2018
|
473415724
|
2019-06-18
|
ONEFAMILYMD
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5025586202
|
Plan sponsor’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014
|
Plan administrator’s name and address
Administrator’s EIN |
473415724 |
Plan administrator’s name |
ONEFAMILYMD |
Plan administrator’s
address |
6225 W HIGHWAY 146 STE 1, CRESTWOOD, KY, 40014 |
Administrator’s telephone number |
5025586202 |
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
TRACY RAGLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|