|
ACHIEVE ANESTHESIA PLLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
472855407
|
2019-04-02
|
ACHIEVE ANESTHESIA PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6159460372
|
| Plan sponsor’s
address |
205 S MACDILL AVE, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2019-04-02 |
| Name of individual signing |
ELIZABETH DUDNEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ACHIEVE ANESTHESIA PLLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
472855407
|
2018-07-19
|
ACHIEVE ANESTHESIA PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6159460372
|
| Plan sponsor’s
address |
4206 S LYNWOOD AVE, TAMPA, FL, 33611
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-19 |
| Name of individual signing |
ELIZABETH DUDNEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ACHIEVE ANESTHESIA PLLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
472855407
|
2017-07-21
|
ACHIEVE ANESTHESIA PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6159460372
|
| Plan sponsor’s
address |
205 S MACDILL AVE, TAMPA, FL, 33609
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-21 |
| Name of individual signing |
ELIZABETH DUDNEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
