PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2014
|
591226227
|
2015-06-29
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE 170, ORLANDO, FL, 32835
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
KIT CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2014
|
591226227
|
2015-06-29
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE 170, ORLANDO, FL, 32835
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2013
|
591226227
|
2014-08-18
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE 170, ORLANDO, FL, 32835
|
Signature of
Role |
Plan administrator |
Date |
2014-08-18 |
Name of individual signing |
KIT CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-18 |
Name of individual signing |
KIT CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2012
|
591226227
|
2013-10-08
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1968-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE 170, ORLANDO, FL, 32835
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
KIT CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-08 |
Name of individual signing |
KIT CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2011
|
591226227
|
2012-09-27
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-09-24
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835
|
Plan administrator’s name and address
Administrator’s EIN |
591226227 |
Plan administrator’s name |
PASADENA RADIOLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835 |
Administrator’s telephone number |
4075322757 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-27 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2010
|
591226227
|
2011-10-07
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-09-24
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835
|
Plan administrator’s name and address
Administrator’s EIN |
591226227 |
Plan administrator’s name |
PASADENA RADIOLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835 |
Administrator’s telephone number |
4075322757 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2009
|
591226227
|
2010-10-06
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-09-24
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s mailing address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE. 260, ORLANDO, FL, 32835
|
Plan administrator’s name and address
Administrator’s EIN |
591226227 |
Plan administrator’s name |
PASADENA RADIOLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835 |
Administrator’s telephone number |
4075322757 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-06 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2009
|
591226227
|
2010-10-06
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-09-24
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s mailing address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE. 260, ORLANDO, FL, 32835
|
Plan administrator’s name and address
Administrator’s EIN |
591226227 |
Plan administrator’s name |
PASADENA RADIOLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835 |
Administrator’s telephone number |
4075322757 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PASADENA RADIOLOGY ASSOCIATES, P.A. PROFIT SHARING PLAN
|
2009
|
591226227
|
2010-10-06
|
PASADENA RADIOLOGY ASSOCIATES, P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-09-24
|
Business code |
621399
|
Sponsor’s telephone number |
4075322757
|
Plan sponsor’s mailing address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835
|
Plan sponsor’s
address |
2101 PARK CENTER DRIVE STE. 260, ORLANDO, FL, 32835
|
Plan administrator’s name and address
Administrator’s EIN |
591226227 |
Plan administrator’s name |
PASADENA RADIOLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
C/O CBIZ MEDICAL MANAGEMENT PROFESS, ORLANDO, FL, 32835 |
Administrator’s telephone number |
4075322757 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-06 |
Name of individual signing |
DR. KIT H. CLARKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|