MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2023
|
591764481
|
2024-08-12
|
MYRTLE AVENUE PEDIATRICS, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2024-08-12 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
CHERI TONOVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2022
|
591764481
|
2023-09-07
|
MYRTLE AVENUE PEDIATRICS, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2023-09-07 |
Name of individual signing |
CHERI TONOVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-07 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2021
|
591764481
|
2022-07-27
|
MYRTLE AVENUE PEDIATRICS, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
CHERI TONOVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2020
|
591764481
|
2021-10-12
|
MYRTLE AVENUE PEDIATRICS, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN 401(K) PLAN
|
2019
|
591764481
|
2021-02-18
|
MYRTLE AVENUE PEDIATRICS, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2021-02-18 |
Name of individual signing |
CHERI TONOVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN 401(K) PLAN
|
2019
|
591764481
|
2020-09-21
|
MYRTLE AVENUE PEDIATRICS, INC.
|
31
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2020-09-21 |
Name of individual signing |
PAM WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-21 |
Name of individual signing |
PAM WARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN 401(K) PLAN
|
2018
|
591764481
|
2019-10-07
|
MYRTLE AVENUE PEDIATRICS, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-07 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2017
|
591764481
|
2018-09-20
|
MYRTLE AVENUE PEDIATRICS, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-20 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2017
|
591764481
|
2018-09-20
|
MYRTLE AVENUE PEDIATRICS, INC.
|
29
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
613 S. MYRTLE AVENUE, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2018-09-20 |
Name of individual signing |
GREG SAVEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MYRTLE AVENUE PEDIATRICS, INC. 401(K) PLAN
|
2016
|
591764481
|
2017-05-09
|
MYRTLE AVENUE PEDIATRICS, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274478628
|
Plan sponsor’s
address |
1230 S. MYRTLE AVENUE,SUITE 204-206, CLEARWATER, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2017-05-09 |
Name of individual signing |
GREG SAVEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|