GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2023
|
261817966
|
2024-07-01
|
GRACE MEDICAL HOME, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
Signature of
Role |
Plan administrator |
Date |
2024-07-01 |
Name of individual signing |
BETTINA HOLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2022
|
261817966
|
2023-07-11
|
GRACE MEDICAL HOME, INC.
|
36
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
Signature of
Role |
Plan administrator |
Date |
2023-07-11 |
Name of individual signing |
BETTINA HOLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2022
|
261817966
|
2023-09-18
|
GRACE MEDICAL HOME, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
Signature of
Role |
Plan administrator |
Date |
2023-09-18 |
Name of individual signing |
BETTINA HOLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2021
|
261817966
|
2022-10-13
|
GRACE MEDICAL HOME, INC.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
BETTINA HOLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2021
|
261817966
|
2022-10-31
|
GRACE MEDICAL HOME, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
Signature of
Role |
Plan administrator |
Date |
2022-10-31 |
Name of individual signing |
BETTINA HOLLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2020
|
261817966
|
2021-06-04
|
GRACE MEDICAL HOME, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2019
|
261817966
|
2020-05-08
|
GRACE MEDICAL HOME, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
1417 E. CONCORD ST., ORLANDO, FL, 32803
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2018
|
261817966
|
2019-06-21
|
GRACE MEDICAL HOME, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
51 PENNSYLVANIA ST., ORLANDO, FL, 32806
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2017
|
261817966
|
2018-06-12
|
GRACE MEDICAL HOME INC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
51 PENNSYLVANIA ST., ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2018-06-12 |
Name of individual signing |
STEPHANIE GARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-12 |
Name of individual signing |
STEPHANIE GARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRACE MEDICAL HOME, INC. 403(B) PLAN
|
2016
|
261817966
|
2017-05-30
|
GRACE MEDICAL HOME, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-07-01
|
Business code |
621112
|
Sponsor’s telephone number |
4079362785
|
Plan sponsor’s
address |
51 PENNSYLVANIA ST., ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
STEPHANIE GARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-30 |
Name of individual signing |
STEPHANIE GARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|