HARBORSIDE SURGERY CENTER 401(K) PROFIT SHARING PLAN
|
2014
|
650443846
|
2015-10-15
|
HARBORSIDE SURGERY CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
STEPHEN MOENNING MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARBORSIDE SURGERY CENTER 401(K) PROFIT SHARING PLAN
|
2013
|
650443846
|
2014-10-13
|
HARBORSIDE SURGERY CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
STEPHEN MOENNING MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARBORSIDE SURGERY CENTER 401(K) PROFIT SHARING PLAN
|
2012
|
650443846
|
2013-06-21
|
HARBORSIDE SURGERY CENTER, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875
|
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
STEPHEN MOENNING MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARBORSIDE SURGERY CENTER 401(K) PROFIT SHARING PLAN
|
2011
|
650443846
|
2012-10-11
|
HARBORSIDE SURGERY CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875
|
Plan administrator’s name and address
Administrator’s EIN |
650443846 |
Plan administrator’s name |
HARBORSIDE SURGERY CENTER, LLC |
Plan administrator’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875 |
Administrator’s telephone number |
9416370065 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
STEPHEN MOENNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARBORSIDE SURGERY CENTER 401(K) PROFIT SHARING PLAN
|
2010
|
650443846
|
2011-07-20
|
HARBORSIDE SURGERY CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875
|
Plan administrator’s name and address
Administrator’s EIN |
650443846 |
Plan administrator’s name |
HARBORSIDE SURGERY CENTER, LLC |
Plan administrator’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PORT CHARLOTTE, FL, 339503875 |
Administrator’s telephone number |
9416370065 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
STEPHEN MOENNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARBORSIDE SURGERY CENTER 401K PROFIT SHARING PLAN
|
2009
|
650443846
|
2010-10-07
|
HARBORSIDE SURGERY CENTER, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
621493
|
Sponsor’s telephone number |
9416370065
|
Plan sponsor’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PUNTA GORDA, FL, 339503875
|
Plan administrator’s name and address
Administrator’s EIN |
650443846 |
Plan administrator’s name |
HARBORSIDE SURGERY CENTER, LLC |
Plan administrator’s
address |
610 EAST OLYMPIA AVENUE, SUITE 100, PUNTA GORDA, FL, 339503875 |
Administrator’s telephone number |
9416370065 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
CHERYL TIBBETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|