KELLER MEDICAL INC.
|
2016
|
262093764
|
2017-11-07
|
KELLER MEDICAL, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 349975633
|
|
THE ACCUMULATOR 401(K) PLAN
|
2016
|
262093764
|
2017-02-13
|
KELLER MEDICAL INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
451739578 |
Plan administrator’s name |
TPS ANCILLARY SERVICES, LLC |
Plan administrator’s
address |
209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Administrator’s telephone number |
8664975501 |
Signature of
Role |
Plan administrator |
Date |
2017-02-13 |
Name of individual signing |
MELANIE WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-13 |
Name of individual signing |
SCOTT SANDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ACCUMULATOR 401(K) PLAN
|
2015
|
262093764
|
2016-06-08
|
KELLER MEDICAL INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
451739578 |
Plan administrator’s name |
TPS ANCILLARY SERVICES, LLC |
Plan administrator’s
address |
209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Administrator’s telephone number |
8664975501 |
Signature of
Role |
Plan administrator |
Date |
2016-06-08 |
Name of individual signing |
MELANIE WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-08 |
Name of individual signing |
SCOTT SANDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ACCUMULATOR 401(K) PLAN
|
2014
|
262093764
|
2015-05-12
|
KELLER MEDICAL INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
451739578 |
Plan administrator’s name |
TPS ANCILLARY SERVICES, LLC |
Plan administrator’s
address |
209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Administrator’s telephone number |
8664975501 |
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
MELANIE WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
SCOTT SANDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ACCUMULATOR 401(K) PLAN
|
2013
|
262093764
|
2014-06-03
|
KELLER MEDICAL INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
451739578 |
Plan administrator’s name |
TPS ANCILLARY SERVICES, LLC |
Plan administrator’s
address |
209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Signature of
Role |
Plan administrator |
Date |
2014-06-03 |
Name of individual signing |
MELANIE WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-03 |
Name of individual signing |
SCOTT SANDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE ACCUMULATOR 401(K) PLAN
|
2012
|
262093764
|
2013-07-09
|
KELLER MEDICAL INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-05-01
|
Business code |
339110
|
Sponsor’s telephone number |
7722199993
|
Plan sponsor’s
address |
1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
451739578 |
Plan administrator’s name |
TPS ANCILLARY SERVICES, LLC |
Plan administrator’s
address |
209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401 |
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
MELANIE WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-09 |
Name of individual signing |
SCOTT SANDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|