|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2022
|
591152227
|
2023-07-28
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
4076543225
|
| Plan sponsor’s
address |
30 REMINGTON RD STE 1, OAKLAND, FL, 347879797
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-28 |
| Name of individual signing |
JENNIFER GOLDEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2021
|
591152227
|
2022-07-26
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
4076543225
|
| Plan sponsor’s
address |
P.O. BOX 783397, WINTER GARDEN, FL, 34778
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-26 |
| Name of individual signing |
JENNIFER GOLDEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2020
|
591152227
|
2021-07-23
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
4076543225
|
| Plan sponsor’s
address |
30 REMINGTON RD STE 1, OAKLAND, FL, 347879797
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-23 |
| Name of individual signing |
JENNIFER GOLDEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2019
|
591152227
|
2020-07-22
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
4076543225
|
| Plan sponsor’s
address |
30 REMINGTON RD STE 1, OAKLAND, FL, 347879797
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-22 |
| Name of individual signing |
JENNIFER DURR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2018
|
591152227
|
2019-07-29
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
4076543225
|
| Plan sponsor’s
address |
30 REMINGTON RD STE 1, OAKLAND, FL, 347879797
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-29 |
| Name of individual signing |
JENNIFER DURR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
2009
|
591152227
|
2010-07-23
|
FLORIDA CHIROPRACTIC ASSOCIATION, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1999-11-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
4072905883
|
| Plan sponsor’s
address |
217 N KIRKMAN RD STE 1, ORLANDO, FL, 32811
|
Plan administrator’s name and address
| Administrator’s EIN |
591152227 |
| Plan administrator’s name |
FLORIDA CHIROPRACTIC ASSOCIATION, INC. |
| Plan administrator’s
address |
217 N KIRKMAN RD STE 1, ORLANDO, FL, 32811 |
| Administrator’s telephone number |
4072905883 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-23 |
| Name of individual signing |
JENNIFER GOLDEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
