|
FLA MEDICAL GROUP 401K PROFIT SHARING PLAN & TRUST
|
2013
|
273647511
|
2014-10-23
|
FLA MEDICAL GROUP
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
4072931750
|
| Plan sponsor’s
address |
8609 FOREST CITY ROAD, ORLANDO, FL, 32810
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLA MEDICAL GROUP 401K PROFIT SHARING PLAN & TRUST
|
2012
|
273647511
|
2014-10-23
|
FLA MEDICAL GROUP
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
4072931790
|
| Plan sponsor’s
address |
8609 FOREST CITY ROAD, ORLANDO, FL, 32810
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLA MEDICAL GROUP 401K PROFIT SHARING PLAN & TRUST
|
2011
|
273647511
|
2014-10-23
|
FLA MEDICAL GROUP
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
4072931790
|
| Plan sponsor’s
address |
8609 FOREST CITY ROAD, ORLANDO, FL, 32810
|
Plan administrator’s name and address
| Administrator’s EIN |
273647511 |
| Plan administrator’s name |
FLA MEDICAL GROUP |
| Plan administrator’s
address |
8609 FOREST CITY ROAD, ORLANDO, FL, 32810 |
| Administrator’s telephone number |
4072931790 |
Signature of
| Role |
Plan administrator |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-23 |
| Name of individual signing |
PENNY ALBERRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
