DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2022
|
592524839
|
2023-12-11
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2023-12-11 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2015
|
592524839
|
2016-09-29
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2014
|
592524839
|
2015-10-14
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2013
|
592524839
|
2014-10-15
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2012
|
592524839
|
2013-10-15
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2011
|
592524839
|
2012-10-09
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA PROFIT SHARING 401(K) PLAN
|
2011
|
592524839
|
2012-10-09
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD., TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD., TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA PROFIT SHARING 401(K) PLAN
|
2010
|
592524839
|
2011-10-13
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD., TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD., TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PENSION PLAN
|
2010
|
592524839
|
2011-10-13
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 323085427 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. PROFIT SHARING 401(K) PLAN
|
2009
|
592524839
|
2010-07-12
|
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508774134
|
Plan sponsor’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 32308
|
Plan administrator’s name and address
Administrator’s EIN |
592524839 |
Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, P.A. |
Plan administrator’s
address |
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL, 32308 |
Administrator’s telephone number |
8508774134 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
STEPHEN RICHARDSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-12 |
Name of individual signing |
BHAVIK SONI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|