NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2018
|
204997768
|
2019-07-03
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750562
|
Plan sponsor’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603 |
Administrator’s telephone number |
8138750562 |
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2017
|
204997768
|
2018-01-09
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750562
|
Plan sponsor’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603 |
Administrator’s telephone number |
8138750562 |
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2016
|
204997768
|
2018-01-05
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750562
|
Plan sponsor’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5013 NORTH ARMENIA AVENUE, TAMPA, FL, 33603 |
Administrator’s telephone number |
8138750562 |
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2015
|
204997768
|
2016-10-17
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134639762
|
Plan sponsor’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Administrator’s telephone number |
8134639762 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
DEVANAND MANGAR MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2014
|
204997768
|
2015-10-11
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134639762
|
Plan sponsor’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Administrator’s telephone number |
8134639762 |
Signature of
Role |
Plan administrator |
Date |
2015-10-11 |
Name of individual signing |
DEVANAND MANGAR MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC 401(K) PLAN
|
2013
|
204997768
|
2014-10-10
|
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134639762
|
Plan sponsor’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647
|
Plan administrator’s name and address
Administrator’s EIN |
204997768 |
Plan administrator’s name |
NORTH TAMPA OUTPATIENT SURGICAL FACILITY, LLC |
Plan administrator’s
address |
5329 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Administrator’s telephone number |
8134639762 |
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
DEVANAND MANGAR MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|