JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
592225547
|
2023-07-31
|
JOHN L. MILLNS, M.D., P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138824206
|
Plan sponsor’s
address |
6001 MEMORIAL HIGHWAY, TAMPA, FL, 33615
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
592225547
|
2022-07-15
|
JOHN L. MILLNS, M.D., P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138824206
|
Plan sponsor’s
address |
6001 MEMORIAL HIGHWAY, TAMPA, FL, 33615
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2020
|
592225547
|
2021-05-18
|
JOHN L. MILLNS, M.D., P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2021-05-18 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2019
|
592225547
|
2020-04-09
|
JOHN L. MILLNS, M.D., P.A.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2020-04-09 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2018
|
592225547
|
2019-06-18
|
JOHN L. MILLNS, M.D., P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2017
|
592225547
|
2018-05-02
|
JOHN L. MILLNS, M.D., P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2018-05-02 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2016
|
592225547
|
2017-05-11
|
JOHN L. MILLNS, M.D., P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2017-05-11 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2015
|
592225547
|
2016-04-05
|
JOHN L. MILLNS, M.D., P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2016-04-05 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2014
|
592225547
|
2015-07-21
|
JOHN L. MILLNS, M.D., P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
JOHN MILLNS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MILLNS, M.D., P.A. 401(K) PROFIT SHARING
|
2013
|
592225547
|
2014-07-11
|
JOHN L. MILLNS, M.D., P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1983-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138841626
|
Plan sponsor’s
address |
6001 MEMORIAL HWY, TAMPA, FL, 336154531
|
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
JOHN L MILLNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-11 |
Name of individual signing |
JOHN L MILLNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|