COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2023
|
631046179
|
2024-06-26
|
COASTAL ANESTHESIA, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2024-06-26 |
Name of individual signing |
PAUL WESLEY PICKARD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2022
|
631046179
|
2023-09-19
|
COASTAL ANESTHESIA, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2023-09-19 |
Name of individual signing |
PAUL WESLEY PICKARD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2021
|
631046179
|
2022-07-18
|
COASTAL ANESTHESIA, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
PAUL WESLEY PICKARD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2020
|
631046179
|
2021-06-07
|
COASTAL ANESTHESIA, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
Role |
Employer/plan sponsor |
Date |
2021-06-07 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2019
|
631046179
|
2020-04-20
|
COASTAL ANESTHESIA, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2020-04-14 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
Role |
Employer/plan sponsor |
Date |
2020-04-14 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2018
|
631046179
|
2019-05-06
|
COASTAL ANESTHESIA, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2019-05-06 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
Role |
Employer/plan sponsor |
Date |
2019-05-06 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2017
|
631046179
|
2018-04-24
|
COASTAL ANESTHESIA, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2018-04-24 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
Role |
Employer/plan sponsor |
Date |
2018-04-24 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2016
|
631046179
|
2017-06-01
|
COASTAL ANESTHESIA, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2015
|
631046179
|
2016-06-21
|
COASTAL ANESTHESIA, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2016-06-20 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|
COASTAL ANESTHESIA, P.C. 401(K) PLAN
|
2014
|
631046179
|
2015-07-27
|
COASTAL ANESTHESIA, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2513423000
|
Plan sponsor’s
address |
P.O. BOX 851417, MOBILE, AL, 366851417
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
P. WESLEY PICKARD, MD |
|
|