TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401(K) P
|
2015
|
201262917
|
2016-09-15
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417
|
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
CHARLES WAYNE MELVIN |
|
Role |
Employer/plan sponsor |
Date |
2016-09-15 |
Name of individual signing |
CHARLES WAYNE MELVIN |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN
|
2014
|
201262917
|
2015-07-20
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417
|
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
KARMEN SOMERS |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN
|
2013
|
201262917
|
2014-07-07
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417
|
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2014-07-07 |
Name of individual signing |
KARMEN SOMERS |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN
|
2012
|
201262917
|
2013-06-10
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
KARMEN SOMERS |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN
|
2011
|
201262917
|
2012-06-11
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
|
Plan administrator’s name and address
Administrator’s EIN |
201262917 |
Plan administrator’s name |
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC |
Plan administrator’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773 |
Administrator’s telephone number |
2563816963 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
KARMEN SOMERS |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 401K PLAN
|
2010
|
201262917
|
2011-07-19
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
|
Plan administrator’s name and address
Administrator’s EIN |
201262917 |
Plan administrator’s name |
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC |
Plan administrator’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773 |
Administrator’s telephone number |
2563816963 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
KARMEN SOMERS |
|
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 401K PLAN
|
2010
|
201262917
|
2011-07-18
|
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-06-30
|
Business code |
621111
|
Sponsor’s telephone number |
2563816963
|
Plan sponsor’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
|
Plan administrator’s name and address
Administrator’s EIN |
201262917 |
Plan administrator’s name |
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC |
Plan administrator’s
address |
1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773 |
Administrator’s telephone number |
2563816963 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
KARMEN SOMERS |
|
Role |
Employer/plan sponsor |
Date |
2011-07-18 |
Name of individual signing |
KARMEN SOMERS |
|
|