INTEGRATED DERMATOLOGY, LLC HEALTH AND WELFARE
|
2019
|
352281853
|
2020-09-23
|
INTEGRATED DERMATOLOGY, LLC
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
214 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-09-23 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC HEALTH AND WELFARE
|
2019
|
352281853
|
2020-07-31
|
INTEGRATED DERMATOLOGY, LLC
|
178
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
214 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC INTEGRATED DERMATOLOGY HEALTH AND WELFARE
|
2019
|
352281853
|
2020-07-31
|
INTEGRATED DERMATOLOGY, LLC
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC HEALTH AND WELFARE
|
2019
|
352281853
|
2020-04-17
|
INTEGRATED DERMATOLOGY, LLC
|
178
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
214 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC INTEGRATED DERMATOLOGY HEALTH AND WELFARE
|
2019
|
352281853
|
2020-04-17
|
INTEGRATED DERMATOLOGY, LLC
|
124
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY. LLC HEALTH AND WELFARE PLAN
|
2018
|
352281853
|
2020-08-07
|
INTEGRATED DERMATOLOGY, LLC
|
475
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
105 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-08-07 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY. LLC HEALTH AND WELFARE PLAN
|
2018
|
352281853
|
2020-08-07
|
INTEGRATED DERMATOLOGY, LLC
|
475
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
105 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2020-08-07 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY. LLC HEALTH AND WELFARE PLAN
|
2018
|
352281853
|
2020-04-17
|
INTEGRATED DERMATOLOGY, LLC
|
475
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
105 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC HEATH AND WELFARE PLAN
|
2017
|
352281853
|
2020-07-31
|
INTEGRATED DERMATOLOGY, LLC
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
475 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED DERMATOLOGY, LLC HEATH AND WELFARE PLAN
|
2017
|
352281853
|
2020-04-17
|
INTEGRATED DERMATOLOGY, LLC
|
255
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613142000
|
Plan sponsor’s mailing address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Plan sponsor’s
address |
4700 EXCHANGE CT STE 110, BOCA RATON, FL, 334314450
|
Number of participants as of the end of the plan year
Active participants |
475 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
KRISTIN HILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|