REPUBLIC SPINE
|
2023
|
463200563
|
2024-06-18
|
REPUBLIC SPINE LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2024-06-18 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2022
|
463200563
|
2023-05-30
|
REPUBLIC SPINE LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2023-05-30 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2021
|
463200563
|
2022-05-26
|
REPUBLIC SPINE LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2022-05-26 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2020
|
463200563
|
2021-07-29
|
REPUBLIC SPINE LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2019
|
463200563
|
2020-06-24
|
REPUBLIC SPINE LLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
CBUTLER8911 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2019
|
463200563
|
2020-06-30
|
REPUBLIC SPINE LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2018
|
463200563
|
2019-06-11
|
REPUBLIC SPINE LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2017
|
463200563
|
2018-06-05
|
REPUBLIC SPINE LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2018-06-05 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
REPUBLIC SPINE
|
2016
|
463200563
|
2017-05-23
|
REPUBLIC SPINE LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
339110
|
Sponsor’s telephone number |
4043864731
|
Plan sponsor’s
address |
350 CAMINO GARDENS BLVD, BOCA RATON, FL, 33432
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
CHRIS BUTLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|