JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2016
|
592612029
|
2017-02-07
|
JOHN L. MYRICK, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
905 E HATTON ST, PENSACOLA, FL, 325033931
|
Plan sponsor’s
address |
905 E HATTON ST, PENSACOLA, FL, 325033931
|
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 |
2017-02-07 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-07 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2015
|
592612029
|
2016-06-21
|
JOHN L. MYRICK, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
905 E. HATTON STREET, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
905 E. HATTON STREET, PENSACOLA, FL, 32503
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
4 |
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 |
2016-06-21 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-21 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2014
|
592612029
|
2015-07-10
|
JOHN L. MYRICK, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
4 |
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 |
2015-07-10 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-10 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2013
|
592612029
|
2014-05-13
|
JOHN L. MYRICK, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
4 |
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 |
2014-05-13 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-13 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
592612029
|
2013-06-27
|
JOHN L. MYRICK, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
4 |
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 |
2013-06-27 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2010
|
592612029
|
2011-06-13
|
JOHN L. MYRICK, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
592612029 |
Plan administrator’s name |
JOHN L. MYRICK, P.A. |
Plan administrator’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504330084 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
5 |
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 |
2011-06-13 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN L. MYRICK, P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
592612029
|
2010-05-28
|
JOHN L. MYRICK, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8504330084
|
Plan sponsor’s mailing address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan sponsor’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
592612029 |
Plan administrator’s name |
JOHN L. MYRICK, P.A. |
Plan administrator’s
address |
1457 N. NINTH AVENUE, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504330084 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
5 |
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 |
2010-05-28 |
Name of individual signing |
LONNIE SIMMONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|