PREMIER HEART PENSION PLAN
|
2010
|
203842362
|
2011-06-23
|
PREMIER HEART AND VASCULAR CENTER, P.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137881400
|
Plan sponsor’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
|
Plan administrator’s name and address
Administrator’s EIN |
203842362 |
Plan administrator’s name |
PREMIER HEART AND VASCULAR CENTER, P.L.C. |
Plan administrator’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709 |
Administrator’s telephone number |
8137881400 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
SUNIL GUPTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER HEART 401(K) PLAN
|
2010
|
203842362
|
2011-06-23
|
PREMIER HEART AND VASCULAR CENTER, P.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137881400
|
Plan sponsor’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
|
Plan administrator’s name and address
Administrator’s EIN |
203842362 |
Plan administrator’s name |
PREMIER HEART AND VASCULAR CENTER, P.L.C. |
Plan administrator’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709 |
Administrator’s telephone number |
8137881400 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
SUNIL GUPTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER HEART 401(K) PLAN
|
2009
|
203842362
|
2010-08-27
|
PREMIER HEART AND VASCULAR CENTER, P.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137881400
|
Plan sponsor’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
|
Plan administrator’s name and address
Administrator’s EIN |
203842362 |
Plan administrator’s name |
PREMIER HEART AND VASCULAR CENTER, P.L.C. |
Plan administrator’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709 |
Administrator’s telephone number |
8137881400 |
Signature of
Role |
Plan administrator |
Date |
2010-08-27 |
Name of individual signing |
SUNIL GUPTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER HEART PENSION PLAN
|
2009
|
203842362
|
2010-08-27
|
PREMIER HEART AND VASCULAR CENTER, P.L.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137881400
|
Plan sponsor’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709
|
Plan administrator’s name and address
Administrator’s EIN |
203842362 |
Plan administrator’s name |
PREMIER HEART AND VASCULAR CENTER, P.L.C. |
Plan administrator’s
address |
P.O. BOX 2709, ZEPHYRHILLS, FL, 335392709 |
Administrator’s telephone number |
8137881400 |
Signature of
Role |
Plan administrator |
Date |
2010-08-27 |
Name of individual signing |
SUNIL GUPTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|