HEART OF FLORIDA 401(K) PLAN
|
2014
|
593060378
|
2015-07-30
|
HEART OF FLORIDA HEALTH CENTER, INC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
SHERRI LEWIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401(K) PLAN
|
2014
|
593060378
|
2015-07-30
|
HEART OF FLORIDA HEALTH CENTER, INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
SHERRI LEWIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401K PLAN
|
2013
|
593060378
|
2015-07-31
|
HEART OF FLORIDA HEALTH CENTER, INC
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
SHERRI LEWIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401K PLAN
|
2013
|
593060378
|
2014-10-14
|
HEART OF FLORIDA HEALTH CENTER, INC
|
95
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
KERRIE JONES CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
KERRIE JONES CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401K PLAN
|
2012
|
593060378
|
2015-07-31
|
HEART OF FLORIDA HEALTH CENTER, INC
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
SHERRI LEWIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401K PLAN
|
2012
|
593060378
|
2013-10-15
|
HEART OF FLORIDA HEALTH CENTER, INC
|
77
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
KERRIE JONES CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401(K) PLAN
|
2011
|
593060378
|
2012-10-15
|
HEART OF FLORIDA HEALTH CENTER, INC
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Plan administrator’s name and address
Administrator’s EIN |
593060378 |
Plan administrator’s name |
HEART OF FLORIDA HEALTH CENTER, INC |
Plan administrator’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471 |
Administrator’s telephone number |
3527326599 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
KERRIE JONES CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401(K) PLAN
|
2010
|
593060378
|
2011-10-14
|
HEART OF FLORIDA HEALTH CENTER, INC
|
27
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621400
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Plan administrator’s name and address
Administrator’s EIN |
593060378 |
Plan administrator’s name |
HEART OF FLORIDA HEALTH CENTER, INC |
Plan administrator’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471 |
Administrator’s telephone number |
3527326599 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MARYLU KILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEART OF FLORIDA 401(K) PLAN
|
2009
|
593060378
|
2010-10-06
|
HEART OF FLORIDA HEALTH CENTER, INC
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-07-01
|
Business code |
621400
|
Sponsor’s telephone number |
3527326599
|
Plan sponsor’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471
|
Plan administrator’s name and address
Administrator’s EIN |
593060378 |
Plan administrator’s name |
HEART OF FLORIDA HEALTH CENTER, INC |
Plan administrator’s
address |
1025 SW 1ST AVE, OCALA, FL, 34471 |
Administrator’s telephone number |
3527326599 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
MARY LU KILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|