BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2016
|
593416226
|
2017-05-31
|
BAY HEART GROUP, P. L.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Signature of
Role |
Plan administrator |
Date |
2017-05-31 |
Name of individual signing |
SHARY WEIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2015
|
593416226
|
2016-10-17
|
BAY HEART GROUP, P. L.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
SHARY WEIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2014
|
593416226
|
2015-10-07
|
BAY HEART GROUP, P. L.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2013
|
593416226
|
2014-05-12
|
BAY HEART GROUP, P.L.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Signature of
Role |
Plan administrator |
Date |
2014-05-12 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2012
|
593416226
|
2013-07-30
|
BAY HEART GROUP, P.L.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2011
|
593416226
|
2012-07-20
|
BAY HEART GROUP, P.L.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Plan administrator’s name and address
Administrator’s EIN |
593416226 |
Plan administrator’s name |
BAY HEART GROUP, P.L. |
Plan administrator’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330 |
Administrator’s telephone number |
8138759000 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2010
|
593416226
|
2011-08-01
|
BAY HEART GROUP, P.L.
|
46
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Plan administrator’s name and address
Administrator’s EIN |
593416226 |
Plan administrator’s name |
BAY HEART GROUP, P.L. |
Plan administrator’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330 |
Administrator’s telephone number |
8138759000 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2010
|
593416226
|
2011-08-01
|
BAY HEART GROUP, P.L.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Plan administrator’s name and address
Administrator’s EIN |
593416226 |
Plan administrator’s name |
BAY HEART GROUP, P.L. |
Plan administrator’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330 |
Administrator’s telephone number |
8138759000 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2010
|
593416226
|
2011-07-26
|
BAY HEART GROUP, P.L.
|
46
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Plan administrator’s name and address
Administrator’s EIN |
593416226 |
Plan administrator’s name |
BAY HEART GROUP, P.L. |
Plan administrator’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330 |
Administrator’s telephone number |
8138759000 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BAY HEART GROUP 401(K) PROFIT SHARING PLAN
|
2010
|
593416226
|
2011-07-29
|
BAY HEART GROUP, P.L.
|
46
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138759000
|
Plan sponsor’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330
|
Plan administrator’s name and address
Administrator’s EIN |
593416226 |
Plan administrator’s name |
BAY HEART GROUP, P.L. |
Plan administrator’s
address |
2814 W. VIRGINIA AVENUE, TAMPA, FL, 336076330 |
Administrator’s telephone number |
8138759000 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
MATTHEW U. GLOVER, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|