ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2016
|
592412539
|
2017-07-25
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2016
|
592412539
|
2017-07-25
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2015
|
592412539
|
2016-10-03
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2014
|
592412539
|
2015-10-15
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. DEFINED BENEFIT PENSION PLAN
|
2014
|
592412539
|
2015-10-15
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. DEFINED BENEFIT PENSION PLAN
|
2013
|
592412539
|
2014-12-11
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2014-12-11 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2013
|
592412539
|
2014-10-09
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. DEFINED BENEFIT PENSION PLAN
|
2013
|
592412539
|
2014-10-09
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. EMPLOYEES' 401(K PROFIT SHARING PLAN AND TRUST
|
2012
|
592412539
|
2013-10-11
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD #201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBERTS ORTHOPAEDIC CLINIC, P.A. DEFINED BENEFIT PENSION PLAN
|
2012
|
592412539
|
2013-10-11
|
ROBERTS ORTHOPAEDIC CLINIC, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4072928992
|
Plan sponsor’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811
|
Plan administrator’s name and address
Administrator’s EIN |
592412539 |
Plan administrator’s name |
ROBERTS ORTHOPAEDIC CLINIC, P.A. |
Plan administrator’s
address |
453 N. KIRKMAN ROAD SUITE 201, ORLANDO, FL, 32811 |
Administrator’s telephone number |
4072928992 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
ROBERT S. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|