SURGCENTER PINELLAS, LLC 401K PLAN
|
2021
|
271372259
|
2022-07-29
|
SURGCENTER PINELLAS, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2020
|
271372259
|
2021-08-05
|
SURGCENTER PINELLAS, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2021-08-05 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2019
|
271372259
|
2020-05-13
|
SURGCENTER PINELLAS, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2020-05-13 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2018
|
271372259
|
2019-04-29
|
SURGCENTER PINELLAS, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2019-04-29 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2017
|
271372259
|
2018-05-03
|
SURGCENTER PINELLAS, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2018-05-03 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2016
|
271372259
|
2017-07-17
|
SURGCENTER PINELLAS, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2015
|
271372259
|
2016-07-12
|
SURGCENTER PINELLAS, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2016-05-13 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2014
|
271372259
|
2015-12-02
|
SURGCENTER PINELLAS, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2015-12-02 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2014
|
271372259
|
2015-04-10
|
SURGCENTER PINELLAS, LLC
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2015-04-10 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGCENTER PINELLAS, LLC 401K PLAN
|
2013
|
271372259
|
2014-05-21
|
SURGCENTER PINELLAS, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
7274085310
|
Plan sponsor’s
address |
12416 66TH STREET NORTH, LARGO, FL, 33773
|
Signature of
Role |
Plan administrator |
Date |
2014-05-21 |
Name of individual signing |
RITA IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|