20/20 HEALTHCARE , LLC 401(K) PROFIT SHARING PLAN
|
2015
|
205733172
|
2016-08-30
|
20/20 HEALTHCARE , LLC
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9197926420
|
Plan sponsor’s
address |
6950 PHILIPS HIGHWAY, SUITE 45, JACKSONVILLE, FL, 322166087
|
Signature of
Role |
Plan administrator |
Date |
2016-08-30 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-30 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE , LLC 401(K) PROFIT SHARING PLAN
|
2015
|
205733172
|
2016-07-08
|
20/20 HEALTHCARE , LLC
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9197926420
|
Plan sponsor’s
address |
6950 PHILIPS HIGHWAY, SUITE 45, JACKSONVILLE, FL, 322166087
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-08 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
205733172
|
2015-05-28
|
20/20 HEALTHCARE, LLC
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9197926420
|
Plan sponsor’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087
|
Plan administrator’s name and address
Administrator’s EIN |
721386027 |
Plan administrator’s name |
PLANTECH, LLP |
Plan administrator’s
address |
2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242 |
Administrator’s telephone number |
2059801603 |
Signature of
Role |
Plan administrator |
Date |
2015-05-28 |
Name of individual signing |
KATHY BITTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
205733172
|
2014-08-29
|
20/20 HEALTHCARE, LLC
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9197926420
|
Plan sponsor’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401K PROFIT SHARING PLAN
|
2012
|
205733172
|
2013-07-23
|
20/20 HEALTHCARE, LLC
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9047300446
|
Plan sponsor’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087
|
Plan administrator’s name and address
Administrator’s EIN |
205733172 |
Plan administrator’s name |
20/20 HEALTHCARE, LLC |
Plan administrator’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087 |
Administrator’s telephone number |
9047300446 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401K PROFIT SHARING PLAN
|
2011
|
205733172
|
2012-10-12
|
20/20 HEALTHCARE, LLC
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9047300446
|
Plan sponsor’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087
|
Plan administrator’s name and address
Administrator’s EIN |
205733172 |
Plan administrator’s name |
20/20 HEALTHCARE, LLC |
Plan administrator’s
address |
6950 PHILIPS HWY, STE 45, JACKSONVILLE, FL, 322166087 |
Administrator’s telephone number |
9047300446 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401K PROFIT SHARING PLAN
|
2010
|
205733172
|
2011-07-25
|
20/20 HEALTHCARE, LLC
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9047300446
|
Plan sponsor’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
Administrator’s EIN |
205733172 |
Plan administrator’s name |
20/20 HEALTHCARE, LLC |
Plan administrator’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217 |
Administrator’s telephone number |
9047300446 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401K PROFIT SHARING PLAN
|
2009
|
205733172
|
2010-10-08
|
20/20 HEALTHCARE, LLC
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9047300446
|
Plan sponsor’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
Administrator’s EIN |
205733172 |
Plan administrator’s name |
20/20 HEALTHCARE, LLC |
Plan administrator’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217 |
Administrator’s telephone number |
9047300446 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
20/20 HEALTHCARE, LLC 401K PROFIT SHARING PLAN
|
2009
|
205733172
|
2010-10-05
|
20/20 HEALTHCARE, LLC
|
67
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-09-01
|
Business code |
541990
|
Sponsor’s telephone number |
9047300446
|
Plan sponsor’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
Administrator’s EIN |
205733172 |
Plan administrator’s name |
20/20 HEALTHCARE, LLC |
Plan administrator’s
address |
6491 POWERS AVENUE, JACKSONVILLE, FL, 32217 |
Administrator’s telephone number |
9047300446 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
CLARK COOGAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|