COASTAL MEDICAL, INC. RETIREMENT PLAN AND TRUST
|
2012
|
593729941
|
2013-06-20
|
COASTAL MEDICAL, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
9047309121
|
Plan sponsor’s mailing address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004
|
Plan sponsor’s
address |
8110 CYPRESS PLAZA DRIVE, JACKSONVILLE, FL, 322414004
|
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
0 |
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 |
2013-06-20 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-20 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COASTAL MEDICAL, INC. RETIREMENT PLAN AND TRUST
|
2011
|
593729941
|
2012-04-23
|
COASTAL MEDICAL, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
9047309121
|
Plan sponsor’s mailing address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004
|
Plan sponsor’s
address |
8110 CYPRESS PLAZA DRIVE, JACKSONVILLE, FL, 322414004
|
Plan administrator’s name and address
Administrator’s EIN |
593729941 |
Plan administrator’s name |
COASTAL MEDICAL, INC. |
Plan administrator’s
address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004 |
Administrator’s telephone number |
9047309121 |
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
4 |
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 |
2012-04-23 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-23 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COASTAL MEDICAL, INC. RETIREMENT PLAN AND TRUST
|
2010
|
593729941
|
2011-07-20
|
COASTAL MEDICAL, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
9047309121
|
Plan sponsor’s mailing address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004
|
Plan sponsor’s
address |
8110 CYPRESS PLAZA DRIVE, JACKSONVILLE, FL, 322414004
|
Plan administrator’s name and address
Administrator’s EIN |
593729941 |
Plan administrator’s name |
COASTAL MEDICAL, INC. |
Plan administrator’s
address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004 |
Administrator’s telephone number |
9047309121 |
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
3 |
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 |
2011-07-20 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-20 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COASTAL MEDICAL, INC. RETIREMENT PLAN AND TRUST
|
2009
|
593729941
|
2010-07-13
|
COASTAL MEDICAL, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
9047309121
|
Plan sponsor’s mailing address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004
|
Plan sponsor’s
address |
8110 CYPRESS PLAZA DRIVE, JACKSONVILLE, FL, 322414004
|
Plan administrator’s name and address
Administrator’s EIN |
593729941 |
Plan administrator’s name |
COASTAL MEDICAL, INC. |
Plan administrator’s
address |
P.O. BOX 24004, JACKSONVILLE, FL, 322414004 |
Administrator’s telephone number |
9047309121 |
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
3 |
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 |
2010-07-13 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
MICHAEL J. KESSEL, SR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|