BAY AREA UROLOGY, INCORPORATED DEFINED BENEFIT PENSION PLAN AND TRUST
|
2011
|
591960868
|
2012-09-06
|
BAY AREA UROLOGY, INCORPORATED
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVENUE, SUITE 201, RIVERVIEW, FL, 335784274
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVENUE, SUITE 201, RIVERVIEW, FL, 335784274 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2012-09-06 |
Name of individual signing |
STEPHEN A. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED PROFIT SHARING PLAN AND TRUST
|
2011
|
591960868
|
2012-09-06
|
BAY AREA UROLOGY, INCORPORATED
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVENUE, SUITE 201, RIVERVIEW, FL, 335784274
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVENUE, SUITE 201, RIVERVIEW, FL, 335784274 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2012-09-06 |
Name of individual signing |
STEPHEN A. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED PROFIT SHARING PLAN AND TRUST
|
2010
|
591960868
|
2011-08-31
|
BAY AREA UROLOGY, INCORPORATED
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
591960868
|
2011-08-31
|
BAY AREA UROLOGY, INCORPORATED
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVENUE, RIVERVIEW, FL, 33578
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVENUE, RIVERVIEW, FL, 33578 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED DEFINED BENEFIT PENSION PLAN AND TRUST
|
2010
|
591960868
|
2011-08-31
|
BAY AREA UROLOGY, INCORPORATED
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2011-08-31 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
591960868
|
2010-10-26
|
BAY AREA UROLOGY, INCORPORATED
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVENUE, RIVERVIEW, FL, 33578
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVENUE, RIVERVIEW, FL, 33578 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2010-10-26 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED PROFIT SHARING PLAN AND TRUST
|
2009
|
591960868
|
2010-10-25
|
BAY AREA UROLOGY, INCORPORATED
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2010-10-25 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
591960868
|
2010-10-25
|
BAY AREA UROLOGY, INCORPORATED
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2010-10-25 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED PROFIT SHARING PLAN AND TRUST
|
2009
|
591960868
|
2010-10-16
|
BAY AREA UROLOGY, INCORPORATED
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33569 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY AREA UROLOGY, INCORPORATED DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
591960868
|
2010-10-16
|
BAY AREA UROLOGY, INCORPORATED
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136850827
|
Plan sponsor’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578
|
Plan administrator’s name and address
Administrator’s EIN |
591960868 |
Plan administrator’s name |
BAY AREA UROLOGY, INCORPORATED |
Plan administrator’s
address |
6043 WINTHROP COMMERCE AVE, STE 201, RIVERVIEW, FL, 33578 |
Administrator’s telephone number |
8136850827 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|