401K PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF FLORIDA CARDIOLOGY, P.A.
|
2011
|
592262342
|
2012-10-12
|
FLORIDA CARDIOLOGY, P.A.
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1983-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076451847
|
Plan sponsor’s mailing address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan sponsor’s
address |
SHAUN STUCKY, 483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan administrator’s name and address
Administrator’s EIN |
592262342 |
Plan administrator’s name |
FLORIDA CARDIOLOGY, P.A. |
Plan administrator’s
address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800 |
Administrator’s telephone number |
4076451847 |
Number of participants as of the end of the plan year
Active participants |
122 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
140 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
SHAUN STUCKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
SHAUN STUCKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF FLORIDA CARDIOLOGY, P.A.
|
2010
|
592262342
|
2011-08-24
|
FLORIDA CARDIOLOGY, P.A.
|
257
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1983-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076451847
|
Plan sponsor’s mailing address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan sponsor’s
address |
DARRELL BENGE, 483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan administrator’s name and address
Administrator’s EIN |
592262342 |
Plan administrator’s name |
FLORIDA CARDIOLOGY, P.A. |
Plan administrator’s
address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800 |
Administrator’s telephone number |
4076451847 |
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
97 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
203 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
13 |
Signature of
Role |
Plan administrator |
Date |
2011-08-24 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-24 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
401K PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF FLORIDA CARDIOLOGY, P.A.
|
2010
|
592262342
|
2011-08-24
|
FLORIDA CARDIOLOGY, P.A.
|
257
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1983-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076451847
|
Plan sponsor’s mailing address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan sponsor’s
address |
DARRELL BENGE, 483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan administrator’s name and address
Administrator’s EIN |
592262342 |
Plan administrator’s name |
FLORIDA CARDIOLOGY, P.A. |
Plan administrator’s
address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800 |
Administrator’s telephone number |
4076451847 |
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
97 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
203 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
13 |
Signature of
Role |
Plan administrator |
Date |
2011-08-24 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-24 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF FLORIDA CARDIOLOGY, P.A.
|
2009
|
592262342
|
2010-10-07
|
FLORIDA CARDIOLOGY, P.A.
|
216
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1983-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076451847
|
Plan sponsor’s mailing address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan sponsor’s
address |
DARRELL BENGE, 483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800
|
Plan administrator’s name and address
Administrator’s EIN |
592262342 |
Plan administrator’s name |
FLORIDA CARDIOLOGY, P.A. |
Plan administrator’s
address |
483 N. SEMORAN BLVD. SUITE 205, WINTER PARK, FL, 327923800 |
Administrator’s telephone number |
4076451847 |
Number of participants as of the end of the plan year
Active participants |
129 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
116 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
245 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
18 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-07 |
Name of individual signing |
DARRELL BENGE,CFO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|