SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2020
|
591298517
|
2021-04-21
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2021-04-21 |
Name of individual signing |
GEORGE REISS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2019
|
591298517
|
2020-08-04
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2020-08-04 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2018
|
591298517
|
2019-06-13
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2019-06-13 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2017
|
591298517
|
2018-10-08
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2016
|
591298517
|
2017-04-26
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2017-04-26 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2015
|
591298517
|
2016-06-24
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2014
|
591298517
|
2015-09-30
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2013
|
591298517
|
2014-09-17
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2014-09-17 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2012
|
591298517
|
2013-02-07
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Signature of
Role |
Plan administrator |
Date |
2013-02-07 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA 401(K) PROFIT SHARING TRUST
|
2011
|
591298517
|
2012-02-21
|
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8507853232
|
Plan sponsor’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401
|
Plan administrator’s name and address
Administrator’s EIN |
591298517 |
Plan administrator’s name |
SURGICAL ASSOCIATES OF NORTHWEST FLORIDA, P.A. |
Plan administrator’s
address |
740 HARRISON AVENUE, PANAMA CITY, FL, 32401 |
Administrator’s telephone number |
8507853232 |
Signature of
Role |
Plan administrator |
Date |
2012-02-21 |
Name of individual signing |
RICHARD B. WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|