SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2023
|
200083846
|
2024-06-28
|
S.A. CASSIDY M.D. P.C.
|
1
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2564962576
|
Plan sponsor’s
address |
1369 RIVER OAKS DR, JACKSONS GAP, AL, 36861
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Signature of
Role |
Plan administrator |
Date |
2024-06-28 |
Name of individual signing |
SCOTT CASSIDY |
|
Role |
Employer/plan sponsor |
Date |
2024-06-28 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2016
|
200083846
|
2017-06-02
|
S.A. CASSIDY, M.D., P.C.
|
2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2564962576
|
Plan sponsor’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2564962576 |
Signature of
Role |
Plan administrator |
Date |
2017-05-26 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2015
|
200083846
|
2016-10-16
|
S.A. CASSIDY, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2564962576
|
Plan sponsor’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2564962576 |
Signature of
Role |
Plan administrator |
Date |
2016-10-16 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401K PROFIT SHARING PLAN
|
2014
|
200083846
|
2015-10-01
|
S.A. CASSIDY, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2564962576
|
Plan sponsor’s
address |
209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2564962576 |
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2013
|
200083846
|
2014-07-25
|
S.A. CASSIDY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2564962576
|
Plan sponsor’s
address |
209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2564962576 |
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2012
|
200083846
|
2013-06-06
|
S.A. CASSIDY, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2562450358
|
Plan sponsor’s
address |
209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2562153490 |
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
SCOTT CASSIDY |
|
|
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN
|
2011
|
200083846
|
2012-06-25
|
S.A. CASSIDY, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2562153490
|
Plan sponsor’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011
|
Plan administrator’s name and address
Administrator’s EIN |
200083846 |
Plan administrator’s name |
S.A. CASSIDY, M.D., P.C. |
Plan administrator’s
address |
P.O. BOX 100, ALEXANDER CITY, AL, 35011 |
Administrator’s telephone number |
2562153490 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
SCOTT CASSIDY |
|
|