|
NAPLES DAY SURGERY LLC 401(K) PROFIT SHARING PLAN
|
2012
|
593713766
|
2013-09-16
|
NAPLES DAY SURGERY, LLC
|
115
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2395983111
|
| Plan sponsor’s mailing address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
| Plan sponsor’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
Plan administrator’s name and address
| Administrator’s EIN |
593713766 |
| Plan administrator’s name |
NAPLES DAY SURGERY, LLC |
| Plan administrator’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110 |
| Administrator’s telephone number |
2395983111 |
Number of participants as of the end of the plan year
| Active participants |
106 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
11 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
98 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2013-09-16 |
| Name of individual signing |
THOMAS BUCKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-16 |
| Name of individual signing |
THOMAS BUCKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NAPLES DAY SURGERY LLC 401(K) PROFIT SHARING PLAN
|
2011
|
593713766
|
2012-09-28
|
NAPLES DAY SURGERY, LLC
|
115
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Plan sponsor’s mailing address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
| Plan sponsor’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
Plan administrator’s name and address
| Administrator’s EIN |
593713766 |
| Plan administrator’s name |
NAPLES DAY SURGERY, LLC |
| Plan administrator’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110 |
Number of participants as of the end of the plan year
| Active participants |
105 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
9 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
98 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-28 |
| Name of individual signing |
THOMAS BUCKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NAPLES DAY SURGERY LLC 401(K) PROFIT SHARING PLAN
|
2010
|
593713766
|
2011-10-07
|
NAPLES DAY SURGERY, LLC
|
108
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2395983111
|
| Plan sponsor’s mailing address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
| Plan sponsor’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
Plan administrator’s name and address
| Administrator’s EIN |
593713766 |
| Plan administrator’s name |
NAPLES DAY SURGERY, LLC |
| Plan administrator’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110 |
| Administrator’s telephone number |
2395983111 |
Number of participants as of the end of the plan year
| Active participants |
106 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
8 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
104 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-07 |
| Name of individual signing |
THOMAS BUCKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NAPLES DAY SURGERY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
593713766
|
2010-10-11
|
NAPLES DAY SURGERY, LLC
|
128
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
2395983111
|
| Plan sponsor’s mailing address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
| Plan sponsor’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110
|
Plan administrator’s name and address
| Administrator’s EIN |
593713766 |
| Plan administrator’s name |
NAPLES DAY SURGERY, LLC |
| Plan administrator’s
address |
11161 HEALTH PARK BLVD, NAPLES, FL, 34110 |
| Administrator’s telephone number |
2395983111 |
Number of participants as of the end of the plan year
| Active participants |
97 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
15 |
| 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 |
108 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
7 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-11 |
| Name of individual signing |
THOMAS BUCKLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
