LPC CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
464694443
|
2021-06-16
|
LPC CLINIC LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216262289
|
Plan sponsor’s
address |
350 WATSON DR, INDIALANTIC, FL, 329033016
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
464694443
|
2020-06-10
|
LPC CLINIC LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216011848
|
Plan sponsor’s
address |
350 WATSON DR, INDIALANTIC, FL, 329033016
|
Signature of
Role |
Plan administrator |
Date |
2020-06-10 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
464694443
|
2019-06-10
|
LPC CLINIC LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216101848
|
Plan sponsor’s
address |
304 S HARBOR CITY BLVD, MELBOURNE, FL, 32901
|
Signature of
Role |
Plan administrator |
Date |
2019-06-10 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
464694443
|
2018-07-30
|
LPC CLINIC LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216011848
|
Plan sponsor’s
address |
304 S HARBOR CITY BLVD, MELBOURNE, FL, 32901
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
464694443
|
2017-07-25
|
LPC CLINIC LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216101848
|
Plan sponsor’s
address |
304 S HARBOR CITY BLVD. #100, MELBOURNE, FL, 32901
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
464694443
|
2016-07-08
|
LPC CLINIC LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216101848
|
Plan sponsor’s
address |
304 S HARBOR CITY BLVD, MELBOURNE, FL, 32901
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LPC CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
464694443
|
2015-06-08
|
LPC CLINIC LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216101848
|
Plan sponsor’s
address |
304 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL, 32901
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
JOHN KERR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|