EYE SITE OF TAMPA BAY 401(K) PLAN
|
2023
|
592059723
|
2024-07-25
|
EYE SITE OF TAMPA BAY, P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2024-07-25 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2022
|
592059723
|
2023-06-25
|
EYE SITE OF TAMPA BAY, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2023-06-25 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2021
|
592059723
|
2022-07-15
|
EYE SITE OF TAMPA BAY, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2020
|
592059723
|
2021-08-27
|
EYE SITE OF TAMPA BAY, P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2021-08-27 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2019
|
592059723
|
2020-05-13
|
EYE SITE OF TAMPA BAY, P.A.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2020-05-13 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2018
|
592059723
|
2019-04-10
|
EYE SITE OF TAMPA BAY, P.A.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
6785009551 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2017
|
592059723
|
2018-04-12
|
EYE SITE OF TAMPA BAY, P.A.
|
47
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
601 S. BELCHER ROAD, CLEARWATER, FL, 33764
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
8004872040 |
Signature of
Role |
Plan administrator |
Date |
2018-04-12 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2017
|
592059723
|
2018-04-16
|
EYE SITE OF TAMPA BAY, P.A.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL, 33765
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
8004872040 |
Signature of
Role |
Plan administrator |
Date |
2018-04-16 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2016
|
592059723
|
2017-09-11
|
EYE SITE OF TAMPA BAY, P.A.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
601 S. BELCHER ROAD, CLEARWATER, FL, 33764
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
8004872040 |
Signature of
Role |
Plan administrator |
Date |
2017-09-11 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE OF TAMPA BAY 401(K) PLAN
|
2015
|
592059723
|
2016-10-17
|
EYE SITE OF TAMPA BAY, P.A.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
7277993772
|
Plan sponsor’s
address |
601 S. BELCHER ROAD, CLEARWATER, FL, 33764
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
8004872040 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|