401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2023
|
591633327
|
2024-09-16
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2024-09-06 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-06 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2022
|
591633327
|
2023-06-28
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2021
|
591633327
|
2022-10-11
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-11 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2020
|
591633327
|
2021-10-12
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
CHARLES W. HEARD JR. MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2019
|
591633327
|
2020-10-13
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-13 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2018
|
591633327
|
2019-10-10
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2017
|
591633327
|
2018-07-26
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-25 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2016
|
591633327
|
2017-07-20
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-20 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2015
|
591633327
|
2016-08-11
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2016-08-11 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-11 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/ PSP AND TRUST FOR EMPLOYEES OF BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
2014
|
591633327
|
2015-09-24
|
BAKER, HEARD, OSTEEN & DAVENPORT, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-05-31
|
Business code |
621111
|
Sponsor’s telephone number |
4078439083
|
Plan sponsor’s
address |
345 WEST MICHIGAN STREET, SUITE 114, ORLANDO, FL, 328064409
|
Signature of
Role |
Plan administrator |
Date |
2015-09-24 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-24 |
Name of individual signing |
PENNY HORN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|