SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2023
|
630196615
|
2024-06-04
|
SOUTHERN MEDICAL ASSOCIATION
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8004234992
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
RANDALL GLICK |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2022
|
630196615
|
2023-09-14
|
SOUTHERN MEDICAL ASSOCIATION
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8004234992
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2023-09-14 |
Name of individual signing |
RANDALL GLICK |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2021
|
630196615
|
2022-10-12
|
SOUTHERN MEDICAL ASSOCIATION
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8004234992
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
RANDALL GLICK |
|
|
SOUTHERN MEDICAL ASSOCIATION MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
630196615
|
2023-08-03
|
SOUTHERN MEDICAL ASSOCIATION
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-12-01
|
Business code |
621498
|
Sponsor’s telephone number |
8004234992
|
Plan sponsor’s
address |
3500 BLUE LAKE DR STE 360, VESTAVIA, AL, 352431972
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2023-08-03 |
Name of individual signing |
ROBERT MOORE |
|
|
SOUTHERN MEDICAL ASSOCIATION MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
630196615
|
2022-09-02
|
SOUTHERN MEDICAL ASSOCIATION
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-12-01
|
Business code |
621498
|
Sponsor’s telephone number |
8004234992
|
Plan sponsor’s
address |
3500 BLUE LAKE DR STE 360, VESTAVIA, AL, 352431972
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-08-30 |
Name of individual signing |
ROBERT MOORE |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2020
|
630196615
|
2021-09-14
|
SOUTHERN MEDICAL ASSOCIATION
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
2059451840
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2021-09-14 |
Name of individual signing |
RANDALL GLICK |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2019
|
630196615
|
2020-06-10
|
SOUTHERN MEDICAL ASSOCIATION
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
2059451840
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2020-06-10 |
Name of individual signing |
RANDALL GLICK |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2018
|
630196615
|
2019-06-04
|
SOUTHERN MEDICAL ASSOCIATION
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
2059451840
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
KIMBERLY WOODS |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2017
|
630196615
|
2018-07-11
|
SOUTHERN MEDICAL ASSOCIATION
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
2059451840
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
KIMBERLY WOODS |
|
|
SOUTHERN MEDICAL ASSOCIATION 401(K) PROFIT SHARING PLAN
|
2016
|
630196615
|
2017-07-13
|
SOUTHERN MEDICAL ASSOCIATION
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
2059451840
|
Plan sponsor’s
address |
3500 BLUE LAKE DRIVE, SUITE 360, BIRMINGHAM, AL, 35243
|
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
KIMBERLY WOODS |
|
|