SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
593653024
|
2017-09-19
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866730517
|
Plan sponsor’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
593653024
|
2015-10-07
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866730517
|
Plan sponsor’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
CRAIG A MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
593653024
|
2014-07-31
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866730517
|
Plan sponsor’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
CRAIG A MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
593653024
|
2013-06-24
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866712771
|
Plan sponsor’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
CRAIG A MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
593653024
|
2012-04-12
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866712771
|
Plan sponsor’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
593653024 |
Plan administrator’s name |
SANDPIPER MEDICAL ASSOCIATES, INC. |
Plan administrator’s
address |
1400 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866712771 |
Signature of
Role |
Plan administrator |
Date |
2012-04-12 |
Name of individual signing |
CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-12 |
Name of individual signing |
CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
593653024
|
2011-03-31
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866712771
|
Plan sponsor’s
address |
1440 HAND AVENUE, SUITE K, ORMOND BEA, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
593653024 |
Plan administrator’s name |
SANDPIPER MEDICAL ASSOCIATES, INC. |
Plan administrator’s
address |
1440 HAND AVENUE, SUITE K, ORMOND BEA, FL, 32174 |
Administrator’s telephone number |
3866712771 |
Signature of
Role |
Plan administrator |
Date |
2011-03-31 |
Name of individual signing |
DR. CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-31 |
Name of individual signing |
DR. CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDPIPER MEDICAL ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
593653024
|
2010-07-08
|
SANDPIPER MEDICAL ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866712771
|
Plan sponsor’s
address |
1440 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
593653024 |
Plan administrator’s name |
SANDPIPER MEDICAL ASSOCIATES, INC. |
Plan administrator’s
address |
1440 HAND AVENUE, SUITE K, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866712771 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
DR. CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-08 |
Name of individual signing |
DR. CRAIG MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|