COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2018
|
593663411
|
2019-08-02
|
COLLABORATEMD
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
111 N MAGNOLIA AVE STE 1100, ORLANDO, FL, 32801
|
Signature of
Role |
Plan administrator |
Date |
2019-08-02 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2018
|
593663411
|
2019-03-08
|
COLLABORATEMD
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
111 N MAGNOLIA AVE STE 1100, SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
111 N MAGNOLIA AVE STE 1100, SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2019-03-08 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2017
|
593663411
|
2018-04-10
|
COLLABORATEMD
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2018-04-10 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2016
|
593663411
|
2017-05-10
|
COLLABORATEMD
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2017-05-10 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2015
|
593663411
|
2016-05-02
|
COLLABORATEMD
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2014
|
593663411
|
2015-07-06
|
COLLABORATEMD
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2013
|
593663411
|
2014-06-16
|
COLLABORATEMD
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2012
|
593663411
|
2013-07-16
|
COLLABORATEMD
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4074045295
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2011
|
593663411
|
2012-05-22
|
COLLABORATEMD
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Plan sponsor’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
225 E ROBINSON ST., SUITE 145, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4074045295 |
Signature of
Role |
Plan administrator |
Date |
2012-05-22 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLABORATEMD 401(K) PROFIT SHARING PLAN
|
2010
|
593663411
|
2011-03-15
|
COLLABORATEMD
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
4079022960
|
Plan sponsor’s
address |
201 E PINE STREET STE. 1310, ORLANDO, FL, 32801
|
Plan administrator’s name and address
Administrator’s EIN |
593663411 |
Plan administrator’s name |
COLLABORATEMD |
Plan administrator’s
address |
201 E PINE STREET STE. 1310, ORLANDO, FL, 32801 |
Administrator’s telephone number |
4079022960 |
Signature of
Role |
Plan administrator |
Date |
2011-03-15 |
Name of individual signing |
DOUGLAS KEGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|