PAVILION FOR WOMENS CARE LLC 401K PLAN
|
2014
|
113683077
|
2015-06-03
|
PAVILION FOR WOMENS CARE LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053020101
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
SUSAN FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVILION FOR WOMENS CARE LLC 401K PLAN
|
2014
|
113683077
|
2015-06-03
|
PAVILION FOR WOMENS CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053020101
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
SUSAN FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVILION FOR WOMENS CARE LLC 401K PLAN
|
2013
|
113683077
|
2014-07-17
|
PAVILION FOR WOMENS CARE LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053020101
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
SUSAN FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVILION FOR WOMENS CARE LLC 401K PLAN
|
2012
|
113683077
|
2013-10-01
|
PAVILION FOR WOMENS CARE LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053020101
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
SUSAN FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
SUSAN FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAVILION FOR WOMENS CARE LLC 401K PLAN
|
2011
|
113683077
|
2012-10-02
|
PAVILION FOR WOMENS CARE LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053020101
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183
|
Plan administrator’s name and address
Administrator’s EIN |
113683077 |
Plan administrator’s name |
PAVILION FOR WOMENS CARE LLC |
Plan administrator’s
address |
8501 SW 124TH AVENUE, #124, MIAMI, FL, 33183 |
Administrator’s telephone number |
3053020101 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
SCOTT DUNKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-02 |
Name of individual signing |
SCOTT DUNKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|