PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2017
|
591198552
|
2018-12-21
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
996
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Active participants |
1121 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-12-12 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2016
|
591198552
|
2017-12-22
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
687
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-01 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2015
|
591198552
|
2017-03-10
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
695
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-10 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2014
|
591198552
|
2016-03-03
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
588
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-01 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2013
|
591198552
|
2015-03-11
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
810
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-03-08 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2012
|
591198552
|
2014-03-10
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
495
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan sponsor’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
900 S. PINE ISLAND ROAD, SUITE 800, PLANTATION, FL, 33324 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-03-07 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2011
|
591198552
|
2013-03-06
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
495
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
4620 N. STATE ROAD 7, BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319
|
Plan sponsor’s
address |
4620 N. STATE ROAD 7, BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
4620 N STATE RD 7 BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-03-15 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC ASSOCIATES, P.A. WELFARE BENEFIT PLAN
|
2010
|
591198552
|
2012-05-29
|
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC.
|
492
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
9549676400
|
Plan
sponsor’s DBA name |
DBA PEDIATRIC ASSOCIATES
|
Plan sponsor’s mailing address |
4620 N. STATE ROAD 7, BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319
|
Plan sponsor’s
address |
4620 N. STATE ROAD 7, BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319
|
Plan administrator’s name and address
Administrator’s EIN |
591198552 |
Plan administrator’s name |
SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON INC. |
Plan administrator’s
address |
4620 N STATE RD 7 BLDG H SUITE 316, LAUDERDALE LAKES, FL, 33319 |
Administrator’s telephone number |
9549676400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-05-24 |
Name of individual signing |
SALTZMAN, TANIS, PITTELL, ETAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|