ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
650183223
|
2024-04-19
|
ISLAND COAST PEDIATRICS, P.A.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2024-04-19 |
Name of individual signing |
JACOB COGDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-27 |
Name of individual signing |
DARRELL TROAST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
650183223
|
2023-05-02
|
ISLAND COAST PEDIATRICS, P.A.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2023-05-02 |
Name of individual signing |
JACOB COGDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
650183223
|
2022-07-26
|
ISLAND COAST PEDIATRICS, P.A.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
JACOB COGDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-26 |
Name of individual signing |
JACOB COGDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
650183223
|
2022-03-17
|
ISLAND COAST PEDIATRICS, P.A.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2022-03-17 |
Name of individual signing |
HOLLY VELEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-17 |
Name of individual signing |
HOLLY VELEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
650183223
|
2020-07-16
|
ISLAND COAST PEDIATRICS, P.A.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
HOLLY VELEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-16 |
Name of individual signing |
HOLLY VELEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
650183223
|
2019-02-18
|
ISLAND COAST PEDIATRICS, P.A.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2019-02-18 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-18 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
650183223
|
2018-03-14
|
ISLAND COAST PEDIATRICS, P.A.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2018-03-14 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-14 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
650183223
|
2017-03-03
|
ISLAND COAST PEDIATRICS, P.A.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2017-03-03 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-03 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
650183223
|
2016-04-08
|
ISLAND COAST PEDIATRICS, P.A.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2016-04-08 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-08 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST PEDIATRICS, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
650183223
|
2015-05-22
|
ISLAND COAST PEDIATRICS, P.A.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2397682111
|
Plan sponsor’s
address |
12550 PROFESSIONAL PARK DR, FORT MYERS, FL, 339137957
|
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-22 |
Name of individual signing |
THOMAS SEITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|