TAMPA BAY ANESTHESIOLOGY ASSOCIATES PENSION PLAN
|
2022
|
262109207
|
2024-02-14
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2024-02-14 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES PENSION PLAN
|
2021
|
262109207
|
2023-02-15
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2023-02-15 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCCIATES PENSION PLAN
|
2020
|
262109207
|
2021-10-13
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES PENSION PLAN
|
2020
|
262109207
|
2023-04-08
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2023-04-08 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCCIATES PENSION PLAN
|
2019
|
262109207
|
2020-10-13
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCCIATES PENSION PLAN
|
2018
|
262109207
|
2019-10-05
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137156767
|
Plan
sponsor’s DBA name |
TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES PENSION PLAN
|
2015
|
262109207
|
2016-10-17
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137836119
|
Plan
sponsor’s DBA name |
DBA TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
JAVIER ROJAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2015
|
262109207
|
2016-06-29
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137836119
|
Plan
sponsor’s DBA name |
DBA TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
JAVIER ROJAS. M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES PENSION PLAN
|
2014
|
262109207
|
2015-10-13
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137836119
|
Plan
sponsor’s DBA name |
DBA TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s mailing address |
3414 LOGGERHEAD WAY, WESLEY CHAPEL, FL, 33544
|
Plan sponsor’s
address |
7050 GALL BLVD, ZEPHYRHILLS, FL, 33541
|
Number of participants as of the end of the plan year
Active participants |
4 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
JAVIER E. ROJAS, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA BAY ANESTHESIOLOGY ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2014
|
262109207
|
2015-09-10
|
ZEPHYRHILLS ANESTHESIOLOGY ASSOCIATES, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8137836119
|
Plan
sponsor’s DBA name |
DBA TAMPA BAY ANESTHESIOLOGY ASSOCIATES
|
Plan sponsor’s
address |
7050 GALL BOULEVARD, ZEPHYRHILLS, FL, 335411347
|
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
DR. JAVIER ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|