SUNCOAST UROLOGY, P.A. 401K PLAN
|
2023
|
592548591
|
2024-04-22
|
SUNCOAST UROLOGY, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2024-04-22 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401K PLAN
|
2022
|
592548591
|
2023-07-11
|
SUNCOAST UROLOGY, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401K PLAN
|
2021
|
592548591
|
2022-06-08
|
SUNCOAST UROLOGY, P.A.
|
37
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2022-06-07 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401K PLAN
|
2020
|
592548591
|
2021-07-19
|
SUNCOAST UROLOGY, P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401K PLAN
|
2019
|
592548591
|
2020-06-26
|
SUNCOAST UROLOGY, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2020-06-26 |
Name of individual signing |
DAVID BUETHE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-26 |
Name of individual signing |
DAVID BUETHE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401K PLAN
|
2018
|
592548591
|
2019-04-23
|
SUNCOAST UROLOGY, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4054102236
|
Plan sponsor’s
address |
7614 JACQUE RD # A, HUDSON, FL, 34667
|
Signature of
Role |
Plan administrator |
Date |
2019-04-23 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-23 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401(K) PLAN
|
2017
|
592548591
|
2018-03-05
|
SUNCOAST UROLOGY, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278628548
|
Plan sponsor’s
address |
7614 JACQUE ROAD, SUITE A, HUDSON, FL, 346677195
|
Signature of
Role |
Plan administrator |
Date |
2018-03-05 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-05 |
Name of individual signing |
DAVID BUETHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401(K) PLAN
|
2016
|
592548591
|
2017-03-01
|
SUNCOAST UROLOGY, P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278628548
|
Plan sponsor’s
address |
7614 JACQUE ROAD, SUITE A, HUDSON, FL, 346677195
|
Signature of
Role |
Plan administrator |
Date |
2017-03-01 |
Name of individual signing |
KEVIN SPIRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-01 |
Name of individual signing |
KEVIN SPIRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401(K) PLAN
|
2015
|
592548591
|
2016-07-29
|
SUNCOAST UROLOGY, P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278628548
|
Plan sponsor’s
address |
7614 JACQUE ROAD, SUITE A, HUDSON, FL, 346677195
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
KEVIN SPIRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
KEVIN SPIRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST UROLOGY, P.A. 401(K) PLAN
|
2009
|
592548591
|
2010-08-13
|
SUNCOAST UROLOGY, P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278628548
|
Plan sponsor’s
address |
7614 JACQUE ROAD, SUITE A, HUDSON, FL, 346677195
|
Plan administrator’s name and address
Administrator’s EIN |
592548591 |
Plan administrator’s name |
SUNCOAST UROLOGY, P.A. |
Plan administrator’s
address |
7614 JACQUE ROAD, SUITE A, HUDSON, FL, 346677195 |
Administrator’s telephone number |
7278628548 |
Signature of
Role |
Plan administrator |
Date |
2010-08-13 |
Name of individual signing |
KEVIN S. SPIRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|