BRADENTON SURGICAL ASSC PA 401K PROFIT SHARING PLN
|
2015
|
591232200
|
2016-07-05
|
BRADENTON SURGICAL ASSOCIATES, P.A
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9419229661
|
Plan sponsor’s
address |
2750 STICKNEY POINT RD. 207, SARASOTA, FL, 34231
|
Signature of
Role |
Plan administrator |
Date |
2016-07-05 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-05 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENTON SURGICAL ASSC PA 401K PROFIT SHARING PLN
|
2014
|
591232200
|
2015-09-30
|
BRADENTON SURGICAL ASSOCIATES, P.A
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9419229661
|
Plan sponsor’s
address |
2750 STICKNEY POINT RD. 207, SARASOTA, FL, 34231
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENTON SURGICAL ASSC PA 401K PROFIT SHARING PLN
|
2013
|
591232200
|
2014-08-21
|
BRADENTON SURGICAL ASSOCIATES, P.A
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9419229661
|
Plan sponsor’s
address |
2750 STICKNEY POINT RD. 207, SARASOTA, FL, 34231
|
Signature of
Role |
Plan administrator |
Date |
2014-08-21 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-21 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENTON SURGICAL ASSC PA 401K PROFIT SHARING PL
|
2012
|
591232200
|
2013-10-11
|
BRADENTON SURGICAL ASSOCIATES, P.A
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9417481471
|
Plan sponsor’s
address |
5601 D 21ST AVE W, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591232200 |
Plan administrator’s name |
BRADENTON SURGICAL ASSOCIATES P.A. |
Plan administrator’s
address |
5601 D 21ST AVE WEST, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417481471 |
Signature of
Role |
Plan administrator |
Date |
2013-09-20 |
Name of individual signing |
NANETTE WENDEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-20 |
Name of individual signing |
NANETTE WENDEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENTON SURGICAL ASSC PA 401K PROFIT SHARING PL
|
2011
|
591232200
|
2012-09-14
|
BRADENTON SURGICAL ASSOCIATES, P.A
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9417481471
|
Plan sponsor’s
address |
5601 D 21ST AVE W, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591232200 |
Plan administrator’s name |
BRADENTON SURGICAL ASSOCIATES P.A. |
Plan administrator’s
address |
5601 D 21ST AVE WEST, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417481471 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-07 |
Name of individual signing |
PAIGE PENNEBACKER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENTON SURGICAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
591232200
|
2011-07-05
|
BRADENTON SURGICAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1969-02-28
|
Business code |
621111
|
Sponsor’s telephone number |
9417481471
|
Plan sponsor’s
address |
5601 D 21ST AVENUE W, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591232200 |
Plan administrator’s name |
BRADENTON SURGICAL ASSOCIATES, P.A. |
Plan administrator’s
address |
5601 D 21ST AVENUE W, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417481471 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
PAIGE PENNEBACKER, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|