|
ABC PEDIATRICS OF OKALOOSA, P.A. EMPLOYEE STOCK OWNERSHIP PLAN
|
2013
|
593639327
|
2014-10-15
|
ABC PEDIATRICS OF OKALOOSA, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3213940700
|
| Plan sponsor’s mailing address |
182 E REDSTONE, SUITE B, CRESTVIEW, FL, 32539
|
| Plan sponsor’s
address |
ABC PEDIATRICS, 1005 COLLEGE BLVD WEST SUITE B, NICEVILLE, FL, 32578
|
Number of participants as of the end of the plan year
| Active participants |
10 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
10 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-10-15 |
| Name of individual signing |
DENISE MITCHELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ABC PEDIATRICS OF OKALOOSA, P.A. EMPLOYEE STOCK OWNERSHIP PLAN
|
2012
|
593639327
|
2013-10-15
|
ABC PEDIATRICS OF OKALOOSA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8506890900
|
| Plan sponsor’s mailing address |
2260 S. FERDON BLVD, NO.92, CRESTVIEW, FL, 32536
|
| Plan sponsor’s
address |
ABC PEDIATRICS, 1005 COLLEGE BLVD WEST SUITE B, NICEVILLE, FL, 32578
|
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
DENISE MITCHELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ABC PEDIATRICS OF OKALOOSA, P.A. EMPLOYEE STOCK OWNERSHIP PLAN
|
2011
|
593639327
|
2012-10-12
|
ABC PEDIATRICS OF OKALOOSA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3213940700
|
| Plan sponsor’s mailing address |
2260 S. FERDON BLVD, NO.92, CRESTVIEW, FL, 32536
|
| Plan sponsor’s
address |
ABC PEDIATRICS, 1005 COLLEGE BLVD WEST SUITE B, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
| Administrator’s EIN |
593639327 |
| Plan administrator’s name |
ABC PEDIATRICS OF OKALOOSA, P.A. |
| Plan administrator’s
address |
2260 S. FERDON BLVD, NO.92, CRESTVIEW, FL, 32536 |
| Administrator’s telephone number |
3213940700 |
Number of participants as of the end of the plan year
| Active participants |
12 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
5 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
DENISE MITCHELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ABC PEDIATRICS OF OKALOOSA, P.A. EMPLOYEE STOCK OWNERSHIP PLAN
|
2010
|
593639327
|
2011-10-14
|
ABC PEDIATRICS OF OKALOOSA, P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8506890900
|
| Plan sponsor’s mailing address |
2260 S. FERDON BLVD, NO.92, CRESTVIEW, FL, 32536
|
| Plan sponsor’s
address |
ABC PEDIATRICS, 1005 COLLEGE BLVD WEST SUITE B, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
| Administrator’s EIN |
593639327 |
| Plan administrator’s name |
ABC PEDIATRICS OF OKALOOSA, P.A. |
| Plan administrator’s
address |
2260 S. FERDON BLVD, NO.92, CRESTVIEW, FL, 32536 |
| Administrator’s telephone number |
8506890900 |
Number of participants as of the end of the plan year
| Active participants |
8 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
5 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-13 |
| Name of individual signing |
DENISE MITCHELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
