PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2020
|
631203807
|
2021-07-28
|
BONE AND JOINT SPECIALISTS, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
P.O. BOX 1903, ALEXANDER CITY, AL, 35011
|
Plan sponsor’s
address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2019
|
631203807
|
2020-10-14
|
BONE AND JOINT SPECIALISTS, P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
P.O. BOX 1903, ALEXANDER CITY, AL, 35011
|
Plan sponsor’s
address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2018
|
631203807
|
2019-06-24
|
BONE AND JOINT SPECIALISTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2565370006
|
Plan sponsor’s mailing address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 350106235
|
Plan sponsor’s
address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2019-06-24 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2017
|
631203807
|
2018-07-30
|
BONE AND JOINT SPECIALISTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2565370006
|
Plan sponsor’s mailing address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
415 LAKEVIEW DRIVE, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2018-06-20 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2016
|
631203807
|
2017-10-14
|
BONE AND JOINT SPECIALISTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 350103375
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2017-10-14 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2015
|
631203807
|
2016-09-26
|
BONE AND JOINT SPECIALISTS, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 350103375
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2014
|
631203807
|
2015-07-28
|
BONE AND JOINT SPECIALISTS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 350103375
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2015-05-01 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2013
|
631203807
|
2014-08-07
|
BONE AND JOINT SPECIALISTS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Signature of
Role |
Plan administrator |
Date |
2014-07-20 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2012
|
631203807
|
2013-10-09
|
BONE AND JOINT SPECIALISTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Number of participants as of the end of the plan year
Active participants |
7 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
ROBERT A. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL R. GOLDHAGEN, M.D. P.C. 401K PSP
|
2011
|
631203807
|
2012-07-24
|
BONE AND JOINT SPECIALISTS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2563299133
|
Plan sponsor’s mailing address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Plan sponsor’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010
|
Plan administrator’s name and address
Administrator’s EIN |
631203807 |
Plan administrator’s name |
BONE AND JOINT SPECIALISTS, P.C. |
Plan administrator’s
address |
3368 HWY. 280, SUITE 116, ALEXANDER CITY, AL, 35010 |
Administrator’s telephone number |
2563299133 |
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
ROBERT SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|