COMPLETE URGENT HEALTHCARE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
451600063
|
2020-08-17
|
COMPLETE URGENT HEALTHCARE LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5618836677
|
Plan sponsor’s
address |
20665 LYONS RD, BOCA RATON, FL, 334343911
|
Signature of
Role |
Plan administrator |
Date |
2020-08-17 |
Name of individual signing |
EVAN GOLDSTEIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-17 |
Name of individual signing |
EVAN GOLDSTEIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
451600063
|
2018-08-21
|
COMPLETE URGENT HEALTHCARE LLC
|
35
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5618836677
|
Plan sponsor’s
address |
20665 LYONS RD, BOCA RATON, FL, 334343911
|
Signature of
Role |
Plan administrator |
Date |
2018-08-21 |
Name of individual signing |
EVAN GOLDSTEIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
451600063
|
2017-05-19
|
COMPLETE URGENT HEALTHCARE LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5619013261
|
Plan sponsor’s
address |
20665 LYONS ROAD, BOCA RATON, FL, 33434
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
EVAN GOLDSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
451600063
|
2016-05-10
|
COMPLETE URGENT HEALTHCARE LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5619013261
|
Plan sponsor’s
address |
20665 LYONS ROAD, BOCA RATON, FL, 33434
|
Signature of
Role |
Plan administrator |
Date |
2016-05-10 |
Name of individual signing |
EVAN GOLDSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
451600063
|
2015-06-18
|
COMPLETE URGENT HEALTHCARE LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5619013261
|
Plan sponsor’s
address |
20665 LYONS ROAD, BOCA RATON, FL, 33434
|
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
EVAN GOLDSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
451600063
|
2014-07-02
|
COMPLETE URGENT HEALTHCARE LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5619013261
|
Plan sponsor’s
address |
20665 LYONS ROAD, BOCA RATON, FL, 33434
|
Signature of
Role |
Plan administrator |
Date |
2014-07-02 |
Name of individual signing |
EVAN GOLDSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMPLETE URGENT HEALTHCARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
451600063
|
2013-07-11
|
COMPLETE URGENT HEALTHCARE LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5619013261
|
Plan sponsor’s
address |
20665 LYONS ROAD, BOCA RATON, FL, 33434
|
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
COMPLETE URGENT HEALTHCARE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|