DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
631107327
|
2022-10-11
|
JOHN F. SIMMONS, M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849890 |
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2021
|
631107327
|
2022-10-11
|
JOHN F. SIMMONS, M.D.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849490 |
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2020
|
631107327
|
2021-12-15
|
JOHN F. SIMMONS, M.D.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849490 |
Signature of
Role |
Plan administrator |
Date |
2021-12-15 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
631107327
|
2021-12-15
|
JOHN F. SIMMONS, M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849890 |
Signature of
Role |
Plan administrator |
Date |
2021-12-15 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2019
|
631107327
|
2020-10-07
|
JOHN F. SIMMONS, M.D.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849490 |
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
631107327
|
2020-10-07
|
JOHN F. SIMMONS, M.D.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849890 |
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
631107327
|
2019-10-02
|
JOHN F. SIMMONS, M.D.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849890 |
Signature of
Role |
Plan administrator |
Date |
2019-10-02 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2018
|
631107327
|
2019-10-02
|
JOHN F. SIMMONS, M.D.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849490 |
Signature of
Role |
Plan administrator |
Date |
2019-10-02 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2017
|
631107327
|
2018-10-01
|
JOHN F. SIMMONS, M.D.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849490 |
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
JOHN F. SIMMONS |
|
|
DR. JOHN F. SIMMONS, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
631107327
|
2018-10-01
|
JOHN F. SIMMONS, M.D.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346849890
|
Plan sponsor’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340
|
Plan administrator’s name and address
Administrator’s EIN |
631107327 |
Plan administrator’s name |
JOHN F. SIMMONS, M.D. |
Plan administrator’s
address |
915 W. HOSPITAL DRIVE, GENEVA, AL, 36340 |
Administrator’s telephone number |
3346849890 |
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
JOHN F. SIMMONS |
|
|