JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2023
|
452948259
|
2024-07-29
|
JET MEDICAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522034408
|
Plan sponsor’s
address |
2221 SE 19 AVE RD, SUITE 200, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
HEATHER KELLEHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2022
|
452948259
|
2023-06-03
|
JET MEDICAL CENTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522034408
|
Plan sponsor’s
address |
2221 SE 19 AVE RD, SUITE 200, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2023-06-03 |
Name of individual signing |
HEATHER KELLEHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2021
|
452948259
|
2022-06-15
|
JET MEDICAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522034408
|
Plan sponsor’s
address |
2221 SE 19 AVE RD, SUITE 200, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2022-06-15 |
Name of individual signing |
HEATHER KELLEHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2020
|
452948259
|
2021-07-22
|
JET MEDICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522034408
|
Plan sponsor’s
address |
2221 SW 19 AV RD, SUITE 200, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
DIANNETTE BRAVO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2019
|
452948259
|
2020-07-15
|
JET MEDICAL CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3526299100
|
Plan sponsor’s
address |
2221 SW 19TH AVE ROAD, SUITE 100, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
MARILYN HARTSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2018
|
452948259
|
2020-07-23
|
JET MEDICAL CENTER
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3526299100
|
Plan sponsor’s
address |
2221 SW 19TH AVE ROAD, SUITE 100, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
MARILYN HARTSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401K PROFIT SHARING PLAN TRUST
|
2017
|
452948259
|
2018-07-06
|
JET MEDICAL CENTER
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3526299100
|
Plan sponsor’s
address |
2221 SW 19TH AVENUE ROAD, SUITE 100, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
LORI CONKLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401 K PROFIT SHARING PLAN TRUST
|
2016
|
452948259
|
2017-08-09
|
JET MEDICAL CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522741874
|
Plan sponsor’s
address |
2002 SE 25TH LOOP, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2017-08-09 |
Name of individual signing |
SAMER R CHOKSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401 K PROFIT SHARING PLAN TRUST
|
2015
|
452948259
|
2016-07-29
|
JET MEDICAL CENTER
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3526299100
|
Plan sponsor’s
address |
1015 SE 17TH ST, STE 200, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
SAMER CHOKSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JET MEDICAL CENTER 401 K PROFIT SHARING PLAN TRUST
|
2014
|
452948259
|
2015-07-30
|
JET MEDICAL CENTER
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621491
|
Sponsor’s telephone number |
3522741874
|
Plan sponsor’s
address |
2002 SE 25TH LOOP, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
SAMER CHOKSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|