|
FLORIDA ENDOSCOPY AND SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
593622500
|
2012-09-12
|
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3525961145
|
| Plan sponsor’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613
|
Plan administrator’s name and address
| Administrator’s EIN |
593622500 |
| Plan administrator’s name |
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC |
| Plan administrator’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613 |
| Administrator’s telephone number |
3525961145 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-12 |
| Name of individual signing |
PATRICK MALONEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA ENDOSCOPY AND SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
593622500
|
2012-07-30
|
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3525961145
|
| Plan sponsor’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613
|
Plan administrator’s name and address
| Administrator’s EIN |
593622500 |
| Plan administrator’s name |
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC |
| Plan administrator’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613 |
| Administrator’s telephone number |
3525961145 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-30 |
| Name of individual signing |
PATRICK MALONEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA ENDOSCOPY AND SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
593622500
|
2011-07-18
|
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3525961145
|
| Plan sponsor’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613
|
Plan administrator’s name and address
| Administrator’s EIN |
593622500 |
| Plan administrator’s name |
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC |
| Plan administrator’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613 |
| Administrator’s telephone number |
3525961145 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-18 |
| Name of individual signing |
KELLY RHINEBERGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA ENDOSCOPY AND SURGERY 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
593622500
|
2010-08-20
|
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3525961145
|
| Plan sponsor’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613
|
Plan administrator’s name and address
| Administrator’s EIN |
593622500 |
| Plan administrator’s name |
FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC |
| Plan administrator’s
address |
12900 CORTEZ BLVD., SUITE 103, BROOKSVILLE, FL, 34613 |
| Administrator’s telephone number |
3525961145 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-20 |
| Name of individual signing |
FRANK HARRISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
