|
ADVANCED SPINE AND WELLNESS, P.A. CASH BALANCE PLAN
|
2023
|
592179118
|
2024-06-17
|
ADVANCED SPINE AND WELLNESS, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS 401(K) PROFIT SHARING PLAN
|
2023
|
592179118
|
2024-06-17
|
ADVANCED SPINE AND WELLNESS, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS, P.A. CASH BALANCE PLAN
|
2022
|
592179118
|
2023-08-23
|
ADVANCED SPINE AND WELLNESS, P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS 401(K) PROFIT SHARING PLAN
|
2022
|
592179118
|
2023-08-23
|
ADVANCED SPINE AND WELLNESS, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS 401(K) PROFIT SHARING PLAN
|
2021
|
592179118
|
2022-08-25
|
ADVANCED SPINE AND WELLNESS, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS, P.A. CASH BALANCE PLAN
|
2021
|
592179118
|
2022-08-25
|
ADVANCED SPINE AND WELLNESS, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
|
|
ADVANCED SPINE AND WELLNESS, P.A. CASH BALANCE PLAN
|
2020
|
592179118
|
2021-07-22
|
ADVANCED SPINE AND WELLNESS, P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-21 |
| Name of individual signing |
CLARK LEMMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-21 |
| Name of individual signing |
CLARK LEMMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ADVANCED SPINE AND WELLNESS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
592179118
|
2021-07-22
|
ADVANCED SPINE AND WELLNESS, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8632930040
|
| Plan sponsor’s
address |
1012 6TH ST NW, WINTER HAVEN, FL, 33881
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-19 |
| Name of individual signing |
CLARK LEMMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-19 |
| Name of individual signing |
CLARK LEMMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
