EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592450360
|
2011-09-21
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
|
30
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
4077676411
|
Plan sponsor’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
|
Plan administrator’s name and address
Administrator’s EIN |
592450360 |
Plan administrator’s name |
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. |
Plan administrator’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751 |
Administrator’s telephone number |
4077676411 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-21 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592450360
|
2011-09-22
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
4077676411
|
Plan sponsor’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
|
Plan administrator’s name and address
Administrator’s EIN |
592450360 |
Plan administrator’s name |
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. |
Plan administrator’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751 |
Administrator’s telephone number |
4077676411 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-22 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592450360
|
2011-09-21
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
4077676411
|
Plan sponsor’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751
|
Plan administrator’s name and address
Administrator’s EIN |
592450360 |
Plan administrator’s name |
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. |
Plan administrator’s
address |
790 CONCOURSE PKWY SOUTH, SUITE 200, MAITLAND, FL, 32751 |
Administrator’s telephone number |
4077676411 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-21 |
Name of individual signing |
CHARLA FERCHOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592450360
|
2010-09-30
|
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
4077676411
|
Plan sponsor’s
address |
225 WEST STATE ROAD 434, SUITE 111, LONGWOOD, FL, 32750
|
Plan administrator’s name and address
Administrator’s EIN |
592450360 |
Plan administrator’s name |
EYE PHYSICIANS OF CENTRAL FLORIDA, P.A. |
Plan administrator’s
address |
225 WEST STATE ROAD 434, SUITE 111, LONGWOOD, FL, 32750 |
Administrator’s telephone number |
4077676411 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
ROBERT GOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-30 |
Name of individual signing |
ROBERT GOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|