NORTH FLORIDA NEPHROLOGY ASSOCIATES, P.A.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-11-01
Business code	621111
Sponsor’s telephone number	8508781171
Plan sponsor’s address	2617 MITCHAM DRIVE, SUITE 102, TALLAHASSEE, FL, 32308

Signature of

Role	Plan administrator
Date	2024-02-14
Name of individual signing	H. AVON DOLL, JR. MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-11-01
Business code	621111
Sponsor’s telephone number	8508781171
Plan sponsor’s address	2617 MITCHAM DRIVE, SUITE 102, TALLAHASSEE, FL, 32308

Signature of

Role	Plan administrator
Date	2023-02-08
Name of individual signing	H. AVON DOLL, JR. MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-11-01
Business code	621111
Sponsor’s telephone number	8508781171
Plan sponsor’s address	2617 MITCHAM DRIVE, SUITE 102, TALLAHASSEE, FL, 32308

Signature of

Role	Plan administrator
Date	2022-03-15
Name of individual signing	H. AVON DOLL, JR. MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-11-01
Business code	621111
Sponsor’s telephone number	8508781171
Plan sponsor’s address	2617 MITCHAM DRIVE, SUITE 102, TALLAHASSEE, FL, 32308

Signature of

Role	Plan administrator
Date	2021-06-08
Name of individual signing	H. AVON DOLL, JR. MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1977-11-01
Business code	621111
Sponsor’s telephone number	8508781171
Plan sponsor’s address	2617 MITCHAM DRIVE, SUITE 102, TALLAHASSEE, FL, 32308

Signature of

Role	Plan administrator
Date	2020-01-16
Name of individual signing	H. AVON DOLL, JR. MD
Valid signature	Filed with authorized/valid electronic signature