GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2023
|
810835199
|
2024-03-18
|
GULF COAST SURGICAL GROUP, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2024-03-18 |
Name of individual signing |
CATHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2022
|
810835199
|
2023-03-22
|
GULF COAST SURGICAL GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2023-03-22 |
Name of individual signing |
CATHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2021
|
810835199
|
2022-05-03
|
GULF COAST SURGICAL GROUP, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2022-05-03 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-03 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2020
|
810835199
|
2021-03-11
|
GULF COAST SURGICAL GROUP, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2021-03-11 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-11 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2019
|
810835199
|
2020-07-09
|
GULF COAST SURGICAL GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-09 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2018
|
810835199
|
2019-06-06
|
GULF COAST SURGICAL GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2019-06-06 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-06 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2017
|
810835199
|
2018-09-06
|
GULF COAST SURGICAL GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-06 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2016
|
810835199
|
2017-08-24
|
GULF COAST SURGICAL GROUP, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2017-08-24 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-24 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GULFCOAST SURGICAL GROUP 401(K) PLAN
|
2015
|
810835199
|
2016-07-19
|
GULF COAST SURGICAL GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7278451662
|
Plan sponsor’s
address |
2439 COUNTRY PLACE BLVD., STE # 102, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
JARED C. FRATTINI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
JARED C FRATTINI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|