PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN
|
2012
|
760712782
|
2013-07-26
|
PINNACLE ANESTHESIA, PL
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
760712782
|
2013-07-26
|
PINNACLE ANESTHESIA, PL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN
|
2011
|
760712782
|
2012-09-26
|
PINNACLE ANESTHESIA, PL
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
760712782
|
2012-09-26
|
PINNACLE ANESTHESIA, PL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-26 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN
|
2010
|
760712782
|
2011-10-03
|
PINNACLE ANESTHESIA, PL
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
760712782
|
2011-10-03
|
PINNACLE ANESTHESIA, PL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
P O BOX 6398, DELRAY BEACH, FL, 33482 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
760712782
|
2010-10-13
|
PINNACLE ANESTHESIA, PL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINNACLE ANESTHESIA PL 401(K) PROFIT SHARING PLAN
|
2009
|
760712782
|
2010-10-13
|
PINNACLE ANESTHESIA, PL
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614953145
|
Plan sponsor’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062
|
Plan administrator’s name and address
Administrator’s EIN |
760712782 |
Plan administrator’s name |
PINNACLE ANESTHESIA, PL |
Plan administrator’s
address |
2880 NE 23RD COURT, POMPANO, FL, 33062 |
Administrator’s telephone number |
5614953145 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
STEVEN EDBRIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|