OLDHAM COUNTY PEDIATRICS CBS BENEFIT PLAN
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2023
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611384019
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2024-04-29
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OLDHAM COUNTY PEDIATRICS
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8
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File |
View Page
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Three-digit plan number (PN) |
501
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Effective date of plan |
2023-08-31
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Business code |
621491
|
Sponsor’s telephone number |
5022256277
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Plan sponsor’s
address |
P. O. BOX 247, 2307 S HWY 5, LA GRANGE, KY, 400310247
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Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2024-04-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
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OLDHAM COUNTY PEDIATRICS 401(K) PLAN
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2023
|
611384019
|
2024-08-14
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OLDHAM COUNTY PEDIATRICS, PLLC
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39
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|
File |
View Page
|
Three-digit plan number (PN) |
002
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Effective date of plan |
2009-01-01
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Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
P.O. BOX 247, LAGRANGE, KY, 400310247
|
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OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2016
|
611384019
|
2017-06-20
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OLDHAM COUNTY PEDIATRICS, PLLC
|
52
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
P.O. BOX 247, LAGRANGE, KY, 400310247
|
|
OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2015
|
611384019
|
2016-06-07
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OLDHAM COUNTY PEDIATRICS, PLLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
P.O. BOX 247, LAGRANGE, KY, 400310247
|
Signature of
Role |
Plan administrator |
Date |
2016-06-07 |
Name of individual signing |
JULIE M. SCHUSTER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
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OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2014
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611384019
|
2015-05-14
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
P.O. BOX 247, LAGRANGE, KY, 400310247
|
Signature of
Role |
Plan administrator |
Date |
2015-05-14 |
Name of individual signing |
JULIE M. SCHUSTER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2013
|
611384019
|
2014-10-06
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
26
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
P.O. BOX 247, LAGRANGE, KY, 400310247
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
JULIE M. SCHUSTER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2012
|
611384019
|
2013-07-22
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
JULIE SCHUSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2011
|
611384019
|
2012-05-15
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
611384019 |
Plan administrator’s name |
OLDHAM COUNTY PEDIATRICS, PLLC |
Plan administrator’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031 |
Administrator’s telephone number |
5022256277 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
JULIE SCHUSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
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OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2010
|
611384019
|
2011-07-20
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
611384019 |
Plan administrator’s name |
OLDHAM COUNTY PEDIATRICS, PLLC |
Plan administrator’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031 |
Administrator’s telephone number |
5022256277 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
JULIE SCHUSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLDHAM COUNTY PEDIATRICS 401(K) PLAN
|
2009
|
611384019
|
2010-07-28
|
OLDHAM COUNTY PEDIATRICS, PLLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5022256277
|
Plan sponsor’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031
|
Plan administrator’s name and address
Administrator’s EIN |
611384019 |
Plan administrator’s name |
OLDHAM COUNTY PEDIATRICS, PLLC |
Plan administrator’s
address |
2307 SOUTH HWY 53, LAGRANGE, KY, 40031 |
Administrator’s telephone number |
5022256277 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JULIE SCHUSTER |
Valid signature |
Filed with authorized/valid electronic signature |
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