|
MIMA 401(K) PLAN AND TRUST
|
2015
|
591224281
|
2016-07-27
|
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3219564220
|
| Plan sponsor’s
address |
1535 WEST NASA BLVD, SUITE A, MELBOURNE, FL, 32901
|
|
|
MIMA 401(K) PLAN AND TRUST
|
2014
|
591224281
|
2015-05-21
|
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3219564220
|
| Plan sponsor’s
address |
1535 WEST NASA BLVD, SUITE A, MELBOURNE, FL, 32901
|
Signature of
| Role |
Plan administrator |
| Date |
2015-05-21 |
| Name of individual signing |
ROBERT PINNICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIMA 401(K) PLAN AND TRUST
|
2010
|
591224281
|
2012-03-21
|
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
|
1481
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3219564220
|
| Plan sponsor’s mailing address |
1535 WEST NASA BLVD, MELBOURNE, FL, 32901
|
| Plan sponsor’s
address |
SUITE A, MELBOURNE, FL, 32901
|
Plan administrator’s name and address
| Administrator’s EIN |
591224281 |
| Plan administrator’s name |
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. |
| Plan administrator’s
address |
5200 BABCOCK ST. NE, PALM BAY, FL, 32905 |
| Administrator’s telephone number |
3219564220 |
Number of participants as of the end of the plan year
| Active participants |
851 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
174 |
| 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 |
1001 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
89 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-21 |
| Name of individual signing |
JAMES RONALDSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIMA 401(K) PLAN AND TRUST
|
2010
|
591224281
|
2011-10-06
|
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
|
1481
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1984-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3219564220
|
| Plan sponsor’s mailing address |
1535 WEST NASA BLVD, MELBOURNE, FL, 32901
|
| Plan sponsor’s
address |
SUITE A, MELBOURNE, FL, 32901
|
Plan administrator’s name and address
| Administrator’s EIN |
591224281 |
| Plan administrator’s name |
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. |
| Plan administrator’s
address |
5200 BABCOCK ST. NE, PALM BAY, FL, 32905 |
| Administrator’s telephone number |
3219564220 |
Number of participants as of the end of the plan year
| Active participants |
851 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
174 |
| 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 |
1001 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
89 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
JAMES RONALDSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIMA 401(K) PLAN AND TRUST
|
2009
|
591224281
|
2010-10-08
|
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A.
|
1383
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1970-04-30
|
| Business code |
621111
|
| Sponsor’s telephone number |
3219564220
|
| Plan sponsor’s mailing address |
5200 BABCOCK ST. NE, PALM BAY, FL, 32905
|
| Plan sponsor’s
address |
SUITE 108, PALM BAY, FL, 32905
|
Plan administrator’s name and address
| Administrator’s EIN |
591224281 |
| Plan administrator’s name |
MELBOURNE INTERNAL MEDICINE ASSOCIATES, P.A. |
| Plan administrator’s
address |
5200 BABCOCK ST. NE, PALM BAY, FL, 32905 |
| Administrator’s telephone number |
3219564220 |
Number of participants as of the end of the plan year
| Active participants |
932 |
| Retired or separated participants receiving
benefits |
270 |
| Other
retired or separated participants entitled to future benefits |
265 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
4 |
| Number of
participants
with
account balances as of the end of the plan year |
1466 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
46 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-08 |
| Name of individual signing |
JAMES M. RONALDSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
