PAIN CARE FIRST 401(K) PLAN
|
2010
|
562359823
|
2011-12-06
|
PAIN CARE FIRST OF ORLANDO, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2011-12-06 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN CARE FIRST PENSION PLAN
|
2010
|
562359823
|
2011-12-06
|
PAIN CARE FIRST OF ORLANDO, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2011-12-06 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN CARE FIRST 401(K) PLAN
|
2010
|
562359823
|
2011-07-27
|
PAIN CARE FIRST OF ORLANDO, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN CARE FIRST PENSION PLAN
|
2010
|
562359823
|
2011-07-26
|
PAIN CARE FIRST OF ORLANDO, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5709 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5709 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN CARE FIRST PENSION PLAN
|
2009
|
562359823
|
2010-10-12
|
PAIN CARE FIRST OF ORLANDO, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5709 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5709 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN CARE FIRST 401(K) PLAN
|
2009
|
562359823
|
2010-10-12
|
PAIN CARE FIRST OF ORLANDO, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9419520550
|
Plan sponsor’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432
|
Plan administrator’s name and address
Administrator’s EIN |
562359823 |
Plan administrator’s name |
PAIN CARE FIRST OF ORLANDO, LLC |
Plan administrator’s
address |
5705 90TH AVENUE CIRCLE EAST, PARRISH, FL, 342195432 |
Administrator’s telephone number |
9419520550 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
KENNETH T. LESTER, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|