BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2020
|
592150517
|
2021-06-15
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3215435544
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2021-06-15 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2019
|
592150517
|
2020-04-16
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3215435544
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2020-04-16 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-16 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2018
|
592150517
|
2019-10-14
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3215435544
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2017
|
592150517
|
2018-06-27
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2016
|
592150517
|
2017-03-24
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2017-03-24 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-24 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2015
|
592150517
|
2016-04-29
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2016-04-29 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-29 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2014
|
592150517
|
2015-05-20
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2015-05-20 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-20 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2013
|
592150517
|
2014-03-28
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2014-03-28 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-28 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2012
|
592150517
|
2013-02-11
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Signature of
Role |
Plan administrator |
Date |
2013-02-11 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC. PROFIT SHARING PLAN
|
2011
|
592150517
|
2012-10-03
|
BREVARD KIDNEY & HYPERTENSION CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214535326
|
Plan sponsor’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952
|
Plan administrator’s name and address
Administrator’s EIN |
592150517 |
Plan administrator’s name |
BREVARD KIDNEY & HYPERTENSION CENTER, INC. |
Plan administrator’s
address |
245 S. COURTENAY PARKWAY, MERRITT ISLAND, FL, 32952 |
Administrator’s telephone number |
3214535326 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
SUKON WANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|