TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2012
|
650789152
|
2013-04-03
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Signature of
Role |
Plan administrator |
Date |
2013-04-03 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST MENTAL HEALTH CENTER 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
650789152
|
2013-05-15
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1, D4, FORT PIERCE, FL, 34982
|
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST MENTAL HEALTH CENTER 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
650789152
|
2012-07-02
|
SUNCOAST MENTAL HEALTH CENTER
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER |
Plan administrator’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2011
|
650789152
|
2012-05-31
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER, INC. |
Plan administrator’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2010
|
650789152
|
2011-05-24
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER, INC. |
Plan administrator’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-05-24 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2010
|
650789152
|
2012-07-09
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER, INC. |
Plan administrator’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2010
|
650789152
|
2011-05-24
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER, INC. |
Plan administrator’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2011-05-24 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST MENTAL HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST
|
2010
|
650789152
|
2011-05-17
|
SUNCOAST MENTAL HEALTH CENTER
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER |
Plan administrator’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2011-05-17 |
Name of individual signing |
SUNCOAST MENTAL HEALTH CENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF SUNCOAST MENTAL HEALTH CENTER, INC.
|
2009
|
650789152
|
2010-07-19
|
SUNCOAST MENTAL HEALTH CENTER, INC.
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER, INC. |
Plan administrator’s
address |
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
JEAN WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUNCOAST MENTAL HEALTH CENTER
|
2009
|
650789152
|
2010-05-24
|
SUNCOAST MENTAL HEALTH CENTER
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7724894726
|
Plan sponsor’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982
|
Plan administrator’s name and address
Administrator’s EIN |
650789152 |
Plan administrator’s name |
SUNCOAST MENTAL HEALTH CENTER |
Plan administrator’s
address |
2814 S. US HWY. #1, FORT PIERCE, FL, 34982 |
Administrator’s telephone number |
7724894726 |
Signature of
Role |
Plan administrator |
Date |
2010-05-24 |
Name of individual signing |
SUNCOAST MENTAL HEALTH CENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|