FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2023
|
043745594
|
2024-09-13
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 32746
|
Signature of
Role |
Plan administrator |
Date |
2024-09-13 |
Name of individual signing |
CAROLYN CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-13 |
Name of individual signing |
MARK NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2022
|
043745594
|
2023-08-28
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 327466217
|
Signature of
Role |
Plan administrator |
Date |
2023-08-28 |
Name of individual signing |
CAROLYN CRAWFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-28 |
Name of individual signing |
MARK NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2021
|
043745594
|
2022-06-27
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 327466217
|
Signature of
Role |
Plan administrator |
Date |
2022-06-27 |
Name of individual signing |
MICHAEL MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-27 |
Name of individual signing |
MICHAEL MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2020
|
043745594
|
2021-07-12
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 327466217
|
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-12 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2019
|
043745594
|
2020-08-31
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 327466217
|
Signature of
Role |
Plan administrator |
Date |
2020-08-31 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-31 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2018
|
043745594
|
2019-09-24
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 327466217
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-24 |
Name of individual signing |
MICHAEL A MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2017
|
043745594
|
2018-10-11
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 32746
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
MIKE MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
MIKE MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2016
|
043745594
|
2017-05-04
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 32746
|
Signature of
Role |
Plan administrator |
Date |
2017-05-04 |
Name of individual signing |
MIKE MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2015
|
043745594
|
2016-05-25
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 32746
|
Signature of
Role |
Plan administrator |
Date |
2016-05-25 |
Name of individual signing |
MIKE MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL SPECIALTIES, LLC 401(K) PLAN
|
2014
|
043745594
|
2015-04-28
|
FLORIDA SURGICAL SPECIALTIES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-10-01
|
Business code |
621498
|
Sponsor’s telephone number |
4073332313
|
Plan sponsor’s
address |
106 COMMERCE STREET, SUITE 108, LAKE MARY, FL, 32746
|
Signature of
Role |
Plan administrator |
Date |
2015-04-28 |
Name of individual signing |
MIKE MILKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|