PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2017
|
593732509
|
2018-07-23
|
PRECISION LITHOTRIPSY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926
|
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2016
|
593732509
|
2017-07-25
|
PRECISION LITHOTRIPSY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
895 BARTON BLVD., STE. B, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
LISA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2015
|
593732509
|
2016-07-25
|
PRECISION LITHOTRIPSY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
895 BARTON BLVD., STE. B, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2014
|
593732509
|
2015-07-31
|
PRECISION LITHOTRIPSY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
895 BARTON BLVD., STE. B, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2013
|
593732509
|
2014-10-03
|
PRECISION LITHOTRIPSY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2012
|
593732509
|
2013-07-26
|
PRECISION LITHOTRIPSY, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
895 BARTON BLVD., STE. B, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2011
|
593732509
|
2012-07-27
|
PRECISION LITHOTRIPSY, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926
|
Plan administrator’s name and address
Administrator’s EIN |
593732509 |
Plan administrator’s name |
PRECISION LITHOTRIPSY, LLC |
Plan administrator’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926 |
Administrator’s telephone number |
3216360535 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2010
|
593732509
|
2011-07-26
|
PRECISION LITHOTRIPSY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926
|
Plan administrator’s name and address
Administrator’s EIN |
593732509 |
Plan administrator’s name |
PRECISION LITHOTRIPSY, LLC |
Plan administrator’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926 |
Administrator’s telephone number |
3216360535 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRECISION LITHOTRIPSY RETIREMENT TRUST
|
2009
|
593732509
|
2010-10-15
|
PRECISION LITHOTRIPSY, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
621399
|
Sponsor’s telephone number |
3216360535
|
Plan sponsor’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926
|
Plan administrator’s name and address
Administrator’s EIN |
593732509 |
Plan administrator’s name |
PRECISION LITHOTRIPSY, LLC |
Plan administrator’s
address |
3490 NORTH US HIGHWAY 1, COCOA, FL, 32926 |
Administrator’s telephone number |
3216360535 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
LISA BURNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|