OCALA UROLOGY SPECIALISTS, P.A. PROFIT SHARING PLAN
|
2013
|
592939427
|
2014-01-22
|
OCALA UROLOGY SPECIALISTS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527326474
|
Plan sponsor’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446
|
Signature of
Role |
Plan administrator |
Date |
2014-01-22 |
Name of individual signing |
CHARLES T. KING, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-22 |
Name of individual signing |
CHARLES T. KING, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA UROLOGY SPECIALISTS, P.A. PROFIT SHARING PLAN
|
2012
|
592939427
|
2013-07-23
|
OCALA UROLOGY SPECIALISTS, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527326474
|
Plan sponsor’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
CHARLES T. KING, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA UROLOGY SPECIALISTS, P.A. PROFIT SHARING PLAN
|
2011
|
592939427
|
2012-10-02
|
OCALA UROLOGY SPECIALISTS, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527326474
|
Plan sponsor’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446
|
Plan administrator’s name and address
Administrator’s EIN |
592939427 |
Plan administrator’s name |
OCALA UROLOGY SPECIALISTS, P.A. |
Plan administrator’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446 |
Administrator’s telephone number |
3527326474 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
CHARLES T. KING, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA UROLOGY SPECIALISTS, P.A. PROFIT SHARING PLAN
|
2010
|
592939427
|
2011-06-10
|
OCALA UROLOGY SPECIALISTS, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527326474
|
Plan sponsor’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446
|
Plan administrator’s name and address
Administrator’s EIN |
592939427 |
Plan administrator’s name |
OCALA UROLOGY SPECIALISTS, P.A. |
Plan administrator’s
address |
2850 SE THIRD COURT, OCALA, FL, 344710446 |
Administrator’s telephone number |
3527326474 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
CHARLES T. KING, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA UROLOGY SPECIALISTS, P.A. PROFIT SHARING PLAN
|
2009
|
592939427
|
2010-07-13
|
OCALA UROLOGY SPECIALISTS, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527326474
|
Plan sponsor’s
address |
2850 SE THIRD COURT, SUITE A, OCALA, FL, 344710446
|
Plan administrator’s name and address
Administrator’s EIN |
592939427 |
Plan administrator’s name |
OCALA UROLOGY SPECIALISTS, P.A. |
Plan administrator’s
address |
2850 SE THIRD COURT, SUITE A, OCALA, FL, 344710446 |
Administrator’s telephone number |
3527326474 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
CHARLES T. KING, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|