SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2017
|
631154722
|
2018-07-13
|
SOUTH TRACE PEDIATRICS, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
1134 COUNTRY CLUB CIR, HOOVER, AL, 35244
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2016
|
631154722
|
2017-07-14
|
SOUTH TRACE PEDIATRICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
1134 COUNTRY CLUB CIR, HOOVER, AL, 35244
|
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2015
|
631154722
|
2016-06-13
|
SOUTH TRACE PEDIATRICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538
|
Signature of
Role |
Plan administrator |
Date |
2016-06-13 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2014
|
631154722
|
2015-07-06
|
SOUTH TRACE PEDIATRICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538
|
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2013
|
631154722
|
2014-07-29
|
SOUTH TRACE PEDIATRICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2012
|
631154722
|
2013-07-24
|
SOUTH TRACE PEDIATRICS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2011
|
631154722
|
2012-03-30
|
SOUTH TRACE PEDIATRICS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538
|
Plan administrator’s name and address
Administrator’s EIN |
631154722 |
Plan administrator’s name |
SOUTH TRACE PEDIATRICS, P.C. |
Plan administrator’s
address |
5356 STADIUM TRACE SUITE 200, HOOVER, AL, 352444538 |
Administrator’s telephone number |
2059859424 |
Signature of
Role |
Plan administrator |
Date |
2012-03-28 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2012-03-28 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2010
|
631154722
|
2011-10-04
|
SOUTH TRACE PEDIATRICS, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5356 STADIUM TRACE, HOOVER, AL, 352444538
|
Plan administrator’s name and address
Administrator’s EIN |
631154722 |
Plan administrator’s name |
SOUTH TRACE PEDIATRICS, P.C. |
Plan administrator’s
address |
5356 STADIUM TRACE, HOOVER, AL, 352444538 |
Administrator’s telephone number |
2059859424 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|
SOUTH TRACE PEDIATRICS, P.C. 401K PROFIT SHARING PLAN
|
2009
|
631154722
|
2010-07-06
|
SOUTH TRACE PEDIATRICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2059859424
|
Plan sponsor’s
address |
5330 STADIUM TRACE DRIVE, SUITE 150, BIRMINGHAM, AL, 352444538
|
Plan administrator’s name and address
Administrator’s EIN |
631154722 |
Plan administrator’s name |
SOUTH TRACE PEDIATRICS, P.C. |
Plan administrator’s
address |
5330 STADIUM TRACE DRIVE, SUITE 150, BIRMINGHAM, AL, 352444538 |
Administrator’s telephone number |
2059859424 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
JEFFREY A. MALONE, M.D. |
|
|