SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2017
|
591997027
|
2018-07-26
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2016
|
591997027
|
2017-02-14
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2017-02-14 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2015
|
591997027
|
2016-03-22
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2016-03-22 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2014
|
591997027
|
2015-03-31
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2015-03-31 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2013
|
591997027
|
2014-06-23
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2014-06-23 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2012
|
591997027
|
2013-06-25
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Signature of
Role |
Plan administrator |
Date |
2013-06-25 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2011
|
591997027
|
2012-04-26
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
591997027 |
Plan administrator’s name |
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. |
Plan administrator’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504323293 |
Signature of
Role |
Plan administrator |
Date |
2012-04-26 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2010
|
591997027
|
2011-08-02
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
591997027 |
Plan administrator’s name |
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. |
Plan administrator’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504323293 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2009
|
591997027
|
2011-08-02
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
591997027 |
Plan administrator’s name |
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. |
Plan administrator’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504323293 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
WILLIAM E. SMITH, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. RETIREMENT PLAN
|
2009
|
591997027
|
2010-10-15
|
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A.
|
45
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-30
|
Business code |
621111
|
Sponsor’s telephone number |
8504323293
|
Plan sponsor’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
591997027 |
Plan administrator’s name |
SOUTHERN ORTHOPAEDICS AND SPORTS MEDICINE, P.A. |
Plan administrator’s
address |
1717 NORTH E STREET, SUITE 534, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504323293 |
|