MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2023
|
562358997
|
2024-10-04
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
8235 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL, 33886
|
Signature of
Role |
Plan administrator |
Date |
2024-10-04 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2022
|
562358997
|
2023-07-11
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
8235 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL, 33886
|
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2021
|
562358997
|
2022-09-20
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2022-09-20 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2020
|
562358997
|
2021-09-23
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2021-09-23 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2019
|
562358997
|
2020-10-05
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2018
|
562358997
|
2019-09-19
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2019-09-19 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2017
|
562358997
|
2018-05-01
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2018-05-01 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2016
|
562358997
|
2017-03-30
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2017-03-30 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2015
|
562358997
|
2016-06-22
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID-FLORIDA PSYCHIATRY CENTER, PL 401K PLAN
|
2014
|
562358997
|
2015-07-22
|
MID-FLORIDA PSYCHIATRY CENTER, PL
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8634197645
|
Plan sponsor’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897
|
Plan administrator’s name and address
Administrator’s EIN |
562358997 |
Plan administrator’s name |
MID-FLORIDA PSYCHIATRY CENTER, PL |
Plan administrator’s
address |
2504 SAND MINE RD, DAVENPORT, FL, 33897 |
Administrator’s telephone number |
8634197645 |
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
VIDYASAGAR VANGALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|