|
DHDA PROVIDERCO PLLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
844585626
|
2024-05-03
|
DHDA PROVIDERCO PLLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5023245960
|
| Plan sponsor’s
address |
120 WEBSTER STREET SUITE 332, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-03 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DHDA PROVIDERCO. PLLC 401(K) PLAN
|
2022
|
844585626
|
2023-07-28
|
DHDA PROVIDERCO PLLC
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5022280234
|
| Plan sponsor’s
address |
120 WEBSTER ST STE 332, LOUISVILLE, KY, 402061895
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-28 |
| Name of individual signing |
PAUL LAVELLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DHDA PROVIDERCO. PLLC 401(K) PLAN
|
2021
|
844585626
|
2022-07-18
|
DHDA PROVIDERCO PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5022280234
|
| Plan sponsor’s
address |
120 WEBSTER ST STE 332, LOUISVILLE, KY, 402061895
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-18 |
| Name of individual signing |
PAUL LAVELLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DHDA PROVIDERCO. PLLC 401(K) PLAN
|
2020
|
844585626
|
2021-07-08
|
DHDA PROVIDERCO PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
5022280234
|
| Plan sponsor’s
address |
120 WEBSTER ST STE 332, LOUISVILLE, KY, 402061895
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-08 |
| Name of individual signing |
PAUL LAVELLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
