FORESIGHT MEDICAL LLC
|
2019
|
462715878
|
2020-09-22
|
FORESIGHT MEDICAL LLC
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
8136095251
|
Plan sponsor’s
address |
1408 N WEST SHORE BLVD, SUITE 1010, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2020-09-22 |
Name of individual signing |
TIFFANY WEBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT MEDICAL LLC
|
2018
|
462715878
|
2020-05-08
|
FORESIGHT MEDICAL LLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
8136095251
|
Plan sponsor’s
address |
1408 N WEST SHORE BLVD, SUITE 1010, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2020-05-08 |
Name of individual signing |
TIFFANY WEBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT MEDICAL LLC
|
2017
|
462715878
|
2018-07-30
|
FORESIGHT MEDICAL LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
8136095251
|
Plan sponsor’s
address |
1408 N WEST SHORE BLVD, SUITE 1010, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
TIFFANY WEBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT MEDICAL LLC
|
2016
|
462715878
|
2017-08-16
|
FORESIGHT MEDICAL LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
2036405278
|
Plan sponsor’s
address |
1408 N WEST SHORE BLVD, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2017-08-16 |
Name of individual signing |
STACY HATLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT MEDICAL LLC
|
2015
|
462715878
|
2016-09-16
|
FORESIGHT MEDICAL LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-07-01
|
Business code |
541990
|
Sponsor’s telephone number |
2036405278
|
Plan sponsor’s
address |
1408 N WEST SHORE BLVD, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2016-09-16 |
Name of individual signing |
MICHELLE MEZZI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|