HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2022
|
650983924
|
2023-10-15
|
HELGEMO LIOU PEDIATRICS, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2023-10-15 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2021
|
650983924
|
2023-01-10
|
HELGEMO LIOU PEDIATRICS, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2023-01-10 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2020
|
650983924
|
2021-10-05
|
HELGEMO LIOU PEDIATRICS, P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2019
|
650983924
|
2020-10-12
|
HELGEMO LIOU PEDIATRICS, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2018
|
650983924
|
2019-10-01
|
HELGEMO LIOU PEDIATRICS, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2017
|
650983924
|
2018-10-09
|
HELGEMO LIOU PEDIATRICS, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416296601
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2016
|
650983924
|
2017-09-18
|
HELGEMO LIOU PEDIATRICS, P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416294464
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
TINA VAUGHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2015
|
650983924
|
2016-10-17
|
HELGEMO LIOU PEDIATRICS, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416294464
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
TINA LINDENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2014
|
650983924
|
2016-01-11
|
HELGEMO LIOU PEDIATRICS, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416294464
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2016-01-11 |
Name of individual signing |
TINA LINDENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELGEMO LIOU PEDIATRICS, P.A. 401(K) PLAN & TRUST
|
2014
|
650983924
|
2015-10-15
|
HELGEMO LIOU PEDIATRICS, P.A.
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416294464
|
Plan sponsor’s
address |
2040 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL, 339482178
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
TINA LINDENBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|