SHILTS CPA, PLLC 401K PLAN
|
2023
|
471697998
|
2024-07-16
|
SHILTS CPA, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
4500 SALISBURY ROAD, SUITE 430, JACKSONVILLE, FL, 32216
|
Signature of
Role |
Plan administrator |
Date |
2024-07-16 |
Name of individual signing |
AMY PLANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA, PLLC 401K PLAN
|
2022
|
471697998
|
2023-05-24
|
SHILTS CPA, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
3301 SW 34TH CIRCLE, SUITE 401, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
AMY PLANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA, PLLC 401K PLAN
|
2021
|
471697998
|
2022-06-08
|
SHILTS CPA, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
3301 SW 34TH CIRCLE, SUITE 401, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2022-06-08 |
Name of individual signing |
AMY PLANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA PLLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
471697998
|
2024-08-29
|
SHILTS CPA PLLC
|
0
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
121 W FORSYTH ST STE 600, JACKSONVILLE, FL, 322023848
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2024-08-28 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA PLLC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
471697998
|
2022-06-14
|
SHILTS CPA PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
121 W FORSYTH ST STE 600, JACKSONVILLE, FL, 322023848
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA, PLLC 401K PLAN
|
2020
|
471697998
|
2021-06-10
|
SHILTS CPA, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
3301 SW 34TH CIRCLE, SUITE 401, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
AMY PLANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA, PLLC 401K PLAN
|
2019
|
471697998
|
2020-06-30
|
SHILTS CPA, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
3301 SW 34TH CIRCLE, SUITE 401, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
AMY PLANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHILTS CPA, PLLC 401K PLAN
|
2019
|
471697998
|
2020-06-17
|
SHILTS CPA, PLLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541211
|
Sponsor’s telephone number |
8448506166
|
Plan sponsor’s
address |
3301 SW 34TH CIRCLE, SUITE 401, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2020-06-17 |
Name of individual signing |
APLANT7299 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|