|
MEDERI SMALL CORPORATION PROFIT SHARING PLAN
|
2015
|
650215835
|
2017-04-18
|
MEDERI OF ORANGE COUNTY, INC
|
48
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
3057907970
|
| Plan sponsor’s mailing address |
PO BOX 330248, MIAMI, FL, 332330248
|
| Plan sponsor’s
address |
PO BOX 330248, MIAMI, FL, 332330248
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
48 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
48 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-04-18 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORPORATION PROFIT SHARING PLAN
|
2014
|
650215835
|
2017-04-17
|
MEDERI OF ORANGE COUNTY, INC
|
48
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
561300
|
| Plan sponsor’s mailing address |
P.O. BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
P.O. BOX 330248, MIAMI, FL, 33233
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
48 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
48 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2016-04-18 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORPORATION PROFIT SHARING PLAN
|
2013
|
650215835
|
2015-04-15
|
MEDERI OF ORANGE COUNTY, INC.
|
48
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
561300
|
| Plan sponsor’s mailing address |
P.O. BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
P.O. BOX 330248, MIAMI, FL, 33233
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
48 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
48 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-04-15 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-04-15 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORPORATION PROFIT SHARING PLAN
|
2011
|
650215835
|
2013-04-16
|
MEDERI OF ORANGE COUNTY INC
|
74
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
3056685135
|
| Plan sponsor’s mailing address |
PO BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
PO BOX 330248, MIAMI, FL, 33233
|
Plan administrator’s name and address
| Administrator’s EIN |
650215835 |
| Plan administrator’s name |
MEDERI OF ORANGE COUNTY INC |
| Plan administrator’s
address |
PO BOX 330248, MIAMI, FL, 33233 |
| Administrator’s telephone number |
3056685135 |
Number of participants as of the end of the plan year
| Active participants |
72 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
72 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-16 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-04-16 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORP PROFIT SHARING PLAN
|
2010
|
650215835
|
2012-04-17
|
MEDERI OF ORANGE COUNTY INC
|
79
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
531300
|
| Sponsor’s telephone number |
3056685135
|
| Plan sponsor’s mailing address |
P.O BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
P.O BOX 330248, MIAMI, FL, 33233
|
Plan administrator’s name and address
| Administrator’s EIN |
650215835 |
| Plan administrator’s name |
MEDERI OF ORANGE COUNTY INC |
| Plan administrator’s
address |
P.O BOX 330248, MIAMI, FL, 33233 |
| Administrator’s telephone number |
3056685135 |
Number of participants as of the end of the plan year
| Active participants |
74 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
74 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-17 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORP PROFIT SHARING PLAN
|
2010
|
650215835
|
2012-04-20
|
MEDERI OF ORANGE COUNTY INC
|
79
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
531300
|
| Sponsor’s telephone number |
3056685135
|
| Plan sponsor’s mailing address |
P.O BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
P.O BOX 330248, MIAMI, FL, 33233
|
Plan administrator’s name and address
| Administrator’s EIN |
650215835 |
| Plan administrator’s name |
MEDERI OF ORANGE COUNTY INC |
| Plan administrator’s
address |
P.O BOX 330248, MIAMI, FL, 33233 |
| Administrator’s telephone number |
3056685135 |
Number of participants as of the end of the plan year
| Active participants |
74 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
74 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-20 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDERI SMALL CORPORATION PROFIT SHARING PLAN
|
2009
|
650215835
|
2011-04-18
|
MEDERI OF ORANGE COUNTY INC
|
79
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-07-01
|
| Business code |
561300
|
| Sponsor’s telephone number |
3056685135
|
| Plan sponsor’s mailing address |
P.O. BOX 330248, MIAMI, FL, 33233
|
| Plan sponsor’s
address |
P.O. BOX 330248, MIAMI, FL, 33233
|
Plan administrator’s name and address
| Administrator’s EIN |
650215835 |
| Plan administrator’s name |
DAVID NESSLEIN |
| Plan administrator’s
address |
P.O. BOX 330248, MIAMI, FL, 33233 |
| Administrator’s telephone number |
3056685135 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
74 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
74 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-18 |
| Name of individual signing |
DAVID NESSLEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
