GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2016
|
270788352
|
2017-07-24
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2017-07-23 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2015
|
270788352
|
2016-06-22
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2016-06-21 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2014
|
270788352
|
2015-09-10
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2015-09-09 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2013
|
270788352
|
2014-10-01
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2012
|
270788352
|
2013-03-08
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Signature of
Role |
Plan administrator |
Date |
2013-03-08 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2011
|
270788352
|
2012-10-10
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Plan administrator’s name and address
Administrator’s EIN |
270788352 |
Plan administrator’s name |
GULF BREEZE ORTHOPAEDIC GROUP, LLC |
Plan administrator’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561 |
Administrator’s telephone number |
8509163700 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2010
|
270788352
|
2011-09-08
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Plan administrator’s name and address
Administrator’s EIN |
270788352 |
Plan administrator’s name |
GULF BREEZE ORTHOPAEDIC GROUP, LLC |
Plan administrator’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561 |
Administrator’s telephone number |
8509163700 |
Signature of
Role |
Plan administrator |
Date |
2011-09-07 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC 401K PLAN
|
2009
|
270788352
|
2010-07-26
|
GULF BREEZE ORTHOPAEDIC GROUP, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8509163700
|
Plan sponsor’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561
|
Plan administrator’s name and address
Administrator’s EIN |
270788352 |
Plan administrator’s name |
GULF BREEZE ORTHOPAEDIC GROUP, LLC |
Plan administrator’s
address |
1040 GULF BREEZE PARKWAY, SUITE 200, GULF BREEZE, FL, 32561 |
Administrator’s telephone number |
8509163700 |
Signature of
Role |
Plan administrator |
Date |
2010-07-24 |
Name of individual signing |
ROGER OSTRANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|