PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2023
|
260528128
|
2024-08-16
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792
|
Signature of
Role |
Plan administrator |
Date |
2024-08-16 |
Name of individual signing |
KARTIK SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2022
|
260528128
|
2023-07-14
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792
|
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
KARTIK SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2021
|
260528128
|
2022-10-12
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
KARTIK SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2020
|
260528128
|
2021-09-19
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2021-09-19 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2019
|
260528128
|
2020-08-11
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
2100 ALOMA AVE STE 204, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2020-08-11 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2018
|
260528128
|
2019-05-16
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2019-05-16 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2017
|
260528128
|
2018-04-21
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2018-04-21 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2016
|
260528128
|
2017-06-20
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2015
|
260528128
|
2016-09-03
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2016-09-03 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER INFECTIOUS DISEASE CARE 401(K) P/S PLAN
|
2014
|
260528128
|
2015-07-17
|
PREMIER INFECTIOUS DISEASE CARE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3214223660
|
Plan sponsor’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
260528128 |
Plan administrator’s name |
PREMIER INFECTIOUS DISEASE CARE, LLC |
Plan administrator’s
address |
132 BENMORE DRIVE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
3214223660 |
Signature of
Role |
Plan administrator |
Date |
2015-07-17 |
Name of individual signing |
ARCHANA SHAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|