LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2018
|
593641889
|
2019-10-07
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN STREET, PENSACOLA, FL, 32505
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2017
|
593641889
|
2018-10-15
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN STREET, PENSACOLA, FL, 32505
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2016
|
593641889
|
2017-10-13
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN STREET, PENSACOLA, FL, 32505
|
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2015
|
593641889
|
2016-10-17
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN STREET, PENSACOLA, FL, 32505
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2014
|
593641889
|
2015-10-14
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN STREET, PENSACOLA, FL, 32505
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2013
|
593641889
|
2014-07-30
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2012
|
593641889
|
2013-07-11
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118
|
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401(K) PLAN
|
2011
|
593641889
|
2012-07-27
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118
|
Plan administrator’s name and address
Administrator’s EIN |
593641889 |
Plan administrator’s name |
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC |
Plan administrator’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118 |
Administrator’s telephone number |
8504324745 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401K PLAN
|
2010
|
593641889
|
2011-07-26
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118
|
Plan administrator’s name and address
Administrator’s EIN |
593641889 |
Plan administrator’s name |
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC |
Plan administrator’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118 |
Administrator’s telephone number |
8504324745 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC 401K PLAN
|
2010
|
593641889
|
2011-07-26
|
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-08-15
|
Business code |
621111
|
Sponsor’s telephone number |
8504324745
|
Plan sponsor’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118
|
Plan administrator’s name and address
Administrator’s EIN |
593641889 |
Plan administrator’s name |
LOURDES VIRTUSIO FAMILY PRACTICE CLINIC |
Plan administrator’s
address |
2102 TOWN ST, PENSACOLA, FL, 325055118 |
Administrator’s telephone number |
8504324745 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
LOURDES VIRTUSIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|