BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
592409554
|
2015-10-05
|
BREVARD EMERGENCY SERVICES, P.A.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3218373820
|
Plan sponsor’s mailing address |
P.O. BOX 1928, MELBOURNE, FL, 32901
|
Plan sponsor’s
address |
1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL, 32901
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
TABITHA ABRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
592409554
|
2014-09-09
|
BREVARD EMERGENCY SERVICES, P.A.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212559671
|
Plan sponsor’s mailing address |
P.O. BOX 1928, MELBOURNE, FL, 32901
|
Plan sponsor’s
address |
520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
19 |
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 |
19 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
TABITHA ABRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
592409554
|
2013-10-15
|
BREVARD EMERGENCY SERVICES, P.A.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212559671
|
Plan sponsor’s mailing address |
P.O. BOX 1928, MELBOURNE, FL, 32901
|
Plan sponsor’s
address |
520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
|
Plan administrator’s name and address
Administrator’s EIN |
592409554 |
Plan administrator’s name |
BREVARD EMERGENCY SERVICES, P.A. |
Plan administrator’s
address |
P.O. BOX 1928, MELBOURNE, FL, 32901 |
Administrator’s telephone number |
3212559671 |
Number of participants as of the end of the plan year
Active participants |
49 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
20 |
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 |
61 |
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 |
2013-10-15 |
Name of individual signing |
RAJESH GUTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592409554
|
2012-10-02
|
BREVARD EMERGENCY SERVICES, P.A.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212559671
|
Plan sponsor’s mailing address |
520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
|
Plan sponsor’s
address |
520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901
|
Plan administrator’s name and address
Administrator’s EIN |
592409554 |
Plan administrator’s name |
BREVARD EMERGENCY SERVICES, P.A. |
Plan administrator’s
address |
520 E STRAWBRIDGE AVENUE, MELBOURNE, FL, 32901 |
Administrator’s telephone number |
3212559671 |
Number of participants as of the end of the plan year
Active participants |
35 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
18 |
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 |
44 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
RAJESH GUTTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592409554
|
2011-10-13
|
BREVARD EMERGENCY SERVICES, P.A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212559671
|
Plan sponsor’s mailing address |
551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901
|
Plan sponsor’s
address |
551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901
|
Plan administrator’s name and address
Administrator’s EIN |
592409554 |
Plan administrator’s name |
BREVARD EMERGENCY SERVICES, P.A. |
Plan administrator’s
address |
551 SOUTH APOLLO BLVD, SUITE 201, MELBOURNE, FL, 32901 |
Administrator’s telephone number |
3212559671 |
Number of participants as of the end of the plan year
Active participants |
26 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
22 |
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 |
47 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
RONALD GILROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BREVARD EMERGENCY SERVICES, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592409554
|
2010-07-06
|
BREVARD EMERGENCY SERVICES, P.A.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212559671
|
Plan sponsor’s mailing address |
2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935
|
Plan sponsor’s
address |
2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935
|
Plan administrator’s name and address
Administrator’s EIN |
592409554 |
Plan administrator’s name |
BREVARD EMERGENCY SERVICES, P.A. |
Plan administrator’s
address |
2080 W EAU GALLIE BLVD, STE A, MELBOURNE, FL, 32935 |
Administrator’s telephone number |
3212559671 |
Number of participants as of the end of the plan year
Active participants |
53 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
9 |
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 |
57 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
RONALD GILROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|