TALLAHASSEE SINGLE DAY SURGERY 401(K) PLAN
|
2014
|
592144799
|
2015-07-14
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY 401(K) PLAN
|
2013
|
592144799
|
2014-09-29
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Signature of
Role |
Plan administrator |
Date |
2014-09-29 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY 401(K) PLAN
|
2012
|
592144799
|
2013-10-01
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY 401(K) PLAN
|
2011
|
592144799
|
2012-10-10
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592144799 |
Plan administrator’s name |
TALLAHASSEE SINGLE DAY SURGERY, LTD |
Plan administrator’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508785165 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY 401(K) PLAN
|
2010
|
592144799
|
2011-10-03
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592144799 |
Plan administrator’s name |
TALLAHASSEE SINGLE DAY SURGERY, LTD |
Plan administrator’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508785165 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY, LTD. 401(K) PLAN
|
2009
|
592144799
|
2011-10-03
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592144799 |
Plan administrator’s name |
TALLAHASSEE SINGLE DAY SURGERY, LTD |
Plan administrator’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508785165 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
DEBRA STOKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TALLAHASSEE SINGLE DAY SURGERY, LTD. 401(K) PLAN
|
2009
|
592144799
|
2010-10-15
|
TALLAHASSEE SINGLE DAY SURGERY, LTD
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508785165
|
Plan sponsor’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592144799 |
Plan administrator’s name |
TALLAHASSEE SINGLE DAY SURGERY, LTD |
Plan administrator’s
address |
1661 PHILLIPS ROAD, TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508785165 |
|