PEDIATRIC SPECIALISTS 401K PLAN
|
2023
|
631241200
|
2024-09-04
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2024-09-04 |
Name of individual signing |
LYNN TODD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2022
|
631241200
|
2023-09-28
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2021
|
631241200
|
2022-09-28
|
PEDIATRIC SPECIALISTS OF MONTGOMERY, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2022-09-28 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2020
|
631241200
|
2021-09-29
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2021-09-29 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2020
|
631241200
|
2021-09-29
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2021-09-29 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2019
|
631241200
|
2020-06-11
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2020-06-11 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2018
|
631241200
|
2019-06-25
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401K PLAN
|
2017
|
631241200
|
2018-08-20
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DR, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2018-08-20 |
Name of individual signing |
BARTON COOK MD |
|
|
PEDIATRIC SPECIALISTS 401(K) PLAN
|
2016
|
631241200
|
2017-05-12
|
PEDIATRIC SPECIALISTS OF MONTGOMERY, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DRIVE, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2017-05-12 |
Name of individual signing |
BARTON B COOK |
|
Role |
Employer/plan sponsor |
Date |
2017-05-12 |
Name of individual signing |
BARTON B COOK |
|
|
PEDIATRIC SPECIALISTS 401(K) PLAN
|
2015
|
631241200
|
2016-05-25
|
PEDIATRIC SPECIALISTS OF MONTGOMERY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3346122111
|
Plan sponsor’s
address |
239 MITYLENE PARK DRIVE, MONTGOMERY, AL, 36117
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
BARTON COOK, MD |
|
Role |
Employer/plan sponsor |
Date |
2016-05-25 |
Name of individual signing |
BARTON COOK, MD |
|
|