GERIMED 2000 LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
593688070
|
2021-05-28
|
GERIMED 2000 LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2021-05-28 |
Name of individual signing |
PATRICIA R JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
593688070
|
2020-06-03
|
GERIMED 2000 LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2020-06-03 |
Name of individual signing |
PATRICIA R JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
593688070
|
2019-07-09
|
GERIMED 2000 LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
PATRICIA R JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
593688070
|
2018-03-10
|
GERIMED 2000 LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2018-03-10 |
Name of individual signing |
OSCAR PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593688070
|
2018-03-10
|
GERIMED 2000 LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2018-03-10 |
Name of individual signing |
OSCAR PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
593688070
|
2016-06-05
|
GERIMED 2000 LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2016-06-05 |
Name of individual signing |
PATRICIA R JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
593688070
|
2016-06-05
|
GERIMED 2000 LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2016-06-05 |
Name of individual signing |
PATRICIA R JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
593688070
|
2014-05-29
|
GERIMED 2000 LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
PATRICIA JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
593688070
|
2013-06-23
|
GERIMED 2000 LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Signature of
Role |
Plan administrator |
Date |
2013-06-23 |
Name of individual signing |
GERIMED 2000 LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERIMED 2000 LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
593688070
|
2012-06-08
|
GERIMED 2000 LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139085000
|
Plan sponsor’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415
|
Plan administrator’s name and address
Administrator’s EIN |
593688070 |
Plan administrator’s name |
GERIMED 2000 LLC |
Plan administrator’s
address |
13924 PEPPERRELL DR, TAMPA, FL, 336243415 |
Administrator’s telephone number |
8139085000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-08 |
Name of individual signing |
GERIMED 2000 LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|