|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2017
|
920134228
|
2018-07-24
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072357000
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 996037015
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2016
|
920134228
|
2017-10-16
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072357000
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 996037015
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2015
|
920134228
|
2016-02-08
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072357000
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 996037015
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2014
|
920134228
|
2015-10-05
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 996037015
|
Signature of
| Role |
Plan administrator |
| Date |
2015-09-29 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-09-29 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2013
|
920134228
|
2014-10-10
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-08 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-08 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
920134228
|
2013-09-09
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-02 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-02 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
920134228
|
2012-09-21
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603
|
Plan administrator’s name and address
| Administrator’s EIN |
920134228 |
| Plan administrator’s name |
KACHEMAK BAY MEDICAL CLINIC, P.C. |
| Plan administrator’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603 |
| Administrator’s telephone number |
9072354050 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-21 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-21 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
920134228
|
2011-09-07
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603
|
Plan administrator’s name and address
| Administrator’s EIN |
920134228 |
| Plan administrator’s name |
KACHEMAK BAY MEDICAL CLINIC, P.C. |
| Plan administrator’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603 |
| Administrator’s telephone number |
9072354050 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-07 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-07 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KACHEMAK BAY MEDICAL CLINIC, P.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
920134228
|
2010-09-14
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Sponsor |
KACHEMAK BAY MEDICAL CLINIC, P.C.
|
| Business code |
621111
|
| Sponsor’s telephone number |
9072354050
|
| Plan sponsor’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603
|
Plan administrator’s name and address
| Administrator’s EIN |
920134228 |
| Plan administrator’s name |
KACHEMAK BAY MEDICAL CLINIC, P.C. |
| Plan administrator’s
address |
4201 BARTLETT ST, SUITE 202, HOMER, AK, 99603 |
| Administrator’s telephone number |
9072354050 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-14 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-14 |
| Name of individual signing |
PAUL RAYMOND MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
