|
WILSON MEDICAL STAFFING PLLC CBS BENEFIT PLAN
|
2023
|
843133298
|
2024-12-30
|
WILSON MEDICAL STAFFING PLLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2023-06-01
|
| Business code |
621491
|
| Sponsor’s telephone number |
2705585456
|
| Plan sponsor’s
address |
2603 KENTUCKY AVE STE 305, PADUCAH, KY, 42003
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
JOSEPH HSU |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2024-12-30 |
| Name of individual signing |
JOSEPH HSU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2023
|
843133298
|
2024-10-11
|
WILSON MEDICAL STAFFING, PLLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-11 |
| Name of individual signing |
RICHARD SCOTT WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2022
|
843133298
|
2023-10-07
|
WILSON MEDICAL STAFFING, PLLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-07 |
| Name of individual signing |
RICHARD SCOTT WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2021
|
843133298
|
2022-08-26
|
WILSON MEDICAL STAFFING, PLLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-26 |
| Name of individual signing |
RICHARD SCOTT WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2020
|
843133298
|
2021-10-08
|
WILSON MEDICAL STAFFING, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-08 |
| Name of individual signing |
RICHARD SCOTT WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2019
|
843133298
|
2020-10-14
|
WILSON MEDICAL STAFFING, PLLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-14 |
| Name of individual signing |
RICHARD SCOTT WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILSON MEDICAL STAFFING 401(K) PLAN
|
2019
|
843133298
|
2020-10-14
|
WILSON MEDICAL STAFFING, PLLC
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2707051142
|
| Plan sponsor’s
address |
P.O. BOX 9485, PADUCAH, KY, 420029485
|
|
