PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
591802485
|
2020-05-26
|
PLASTIC SURGERY CENTER, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2020-05-26 |
Name of individual signing |
LISA SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
591802485
|
2019-09-03
|
PLASTIC SURGERY CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2019-09-03 |
Name of individual signing |
LISA SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
591802485
|
2018-10-03
|
PLASTIC SURGERY CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2018-10-03 |
Name of individual signing |
LISA SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
591802485
|
2017-07-27
|
PLASTIC SURGERY CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
LISA SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
591802485
|
2016-07-12
|
PLASTIC SURGERY CENTER, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
LISA SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
591802485
|
2015-06-01
|
PLASTIC SURGERY CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2015-06-01 |
Name of individual signing |
LESLIE FAVREAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
591802485
|
2014-05-19
|
PLASTIC SURGERY CENTER, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2014-05-19 |
Name of individual signing |
LESLIE FAVREAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
591802485
|
2013-07-03
|
PLASTIC SURGERY CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
LESLIE FAVREAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
591802485
|
2012-07-02
|
PLASTIC SURGERY CENTER, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591802485 |
Plan administrator’s name |
PLASTIC SURGERY CENTER, P.A. |
Plan administrator’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417924157 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
JEFFREY K. SCOTT, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-02 |
Name of individual signing |
PLASTIC SURGERY CENTER, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLASTIC SURGERY CENTER, P.A. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
591802485
|
2011-06-24
|
PLASTIC SURGERY CENTER, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-03-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417924157
|
Plan sponsor’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591802485 |
Plan administrator’s name |
PLASTIC SURGERY CENTER, P.A. |
Plan administrator’s
address |
5807 21ST AVENUE WEST, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417924157 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
JEFFREY K. SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-24 |
Name of individual signing |
JEFFREY K. SCOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|