|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2017
|
631079854
|
2018-12-13
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7349273742
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2016
|
631079854
|
2018-07-09
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7349273742
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2015
|
631079854
|
2017-07-17
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7349273742
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-17 |
| Name of individual signing |
ANGELO MANCUSO, D.O. |
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2014
|
631079854
|
2016-06-29
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7349273742
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-29 |
| Name of individual signing |
ANGELO MANCUSO, D.O. |
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2013
|
631079854
|
2015-06-17
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2563519996
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2015-06-17 |
| Name of individual signing |
ANGELO MANCUSO, D.O. |
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2012
|
631079854
|
2014-07-14
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
3
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2533519996
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-14 |
| Name of individual signing |
ANGELO MANCUSO |
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2012
|
631079854
|
2014-09-29
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2533519996
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-29 |
| Name of individual signing |
ANGELO MANCUSO |
|
|
|
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN
|
2012
|
631079854
|
2014-07-14
|
SOUTHERN DERMATOLOGY CENTER, P.C.
|
3
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2533519996
|
| Plan sponsor’s
address |
2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-14 |
| Name of individual signing |
ANGELO MANCUSO |
|
|
