THE BESSEMER CLINIC, P. C. 401 (K) PROFIT SHARING PLAN
|
2015
|
630717658
|
2016-06-03
|
THE BESSEMER CLINIC, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Signature of
Role |
Plan administrator |
Date |
2016-06-03 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
630717658
|
2016-06-03
|
THE BESSEMER CLINIC, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Signature of
Role |
Plan administrator |
Date |
2016-06-03 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
630717658
|
2015-04-06
|
THE BESSEMER CLINIC, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Signature of
Role |
Plan administrator |
Date |
2015-04-06 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. PROFIT SHARING PLAN
|
2013
|
630717658
|
2014-05-27
|
THE BESSEMER CLINIC, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. PROFIT SHARING PLAN
|
2012
|
630717658
|
2013-05-06
|
THE BESSEMER CLINIC, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. PROFIT SHARING PLAN
|
2011
|
630717658
|
2012-03-20
|
THE BESSEMER CLINIC, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Plan administrator’s name and address
Administrator’s EIN |
630717658 |
Plan administrator’s name |
THE BESSEMER CLINIC, P.C. |
Plan administrator’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081 |
Administrator’s telephone number |
2054244921 |
Signature of
Role |
Plan administrator |
Date |
2012-03-20 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2012-03-20 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. PROFIT SHARING PLAN
|
2010
|
630717658
|
2011-05-24
|
THE BESSEMER CLINIC, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Plan administrator’s name and address
Administrator’s EIN |
630717658 |
Plan administrator’s name |
THE BESSEMER CLINIC, P.C. |
Plan administrator’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081 |
Administrator’s telephone number |
2054244921 |
Signature of
Role |
Plan administrator |
Date |
2011-05-19 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2011-05-19 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|
THE BESSEMER CLINIC, P.C. PROFIT SHARING PLAN
|
2009
|
630717658
|
2010-06-24
|
THE BESSEMER CLINIC, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2054244921
|
Plan sponsor’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081
|
Plan administrator’s name and address
Administrator’s EIN |
630717658 |
Plan administrator’s name |
THE BESSEMER CLINIC, P.C. |
Plan administrator’s
address |
927 MEDICAL CENTER DRIVE, BESSEMER, AL, 350236081 |
Administrator’s telephone number |
2054244921 |
Signature of
Role |
Plan administrator |
Date |
2010-06-24 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2010-06-24 |
Name of individual signing |
MICHAEL A. MOORE, M.D. |
|
|