MCBATH MEDICAL CENTER, P.A. 401(K) PLAN
|
2013
|
593734319
|
2016-04-11
|
MCBATH MEDICAL CENTER, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525676763
|
Plan sponsor’s
address |
13933 17TH ST, DADE CITY, FL, 335254603
|
Signature of
Role |
Plan administrator |
Date |
2016-04-11 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-11 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCBATH MEDICAL CENTER, P.A. 401(K) PLAN
|
2012
|
593734319
|
2013-10-09
|
MCBATH MEDICAL CENTER, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525676763
|
Plan sponsor’s
address |
13933 17TH ST, DADE CITY, FL, 335254603
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCBATH MEDICAL CENTER, P.A. 401(K) PLAN
|
2011
|
593734319
|
2013-10-09
|
MCBATH MEDICAL CENTER, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525676763
|
Plan sponsor’s
address |
13933 17TH ST, DADE CITY, FL, 335254603
|
Plan administrator’s name and address
Administrator’s EIN |
593734319 |
Plan administrator’s name |
MCBATH MEDICAL CENTER, P.A. |
Plan administrator’s
address |
13933 17TH ST, DADE CITY, FL, 335254603 |
Administrator’s telephone number |
3525676763 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCBATH MEDICAL CENTER P.A. 401K PLAN
|
2009
|
593734319
|
2010-07-01
|
MCBATH MEDICAL CENTER P.A.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525213239
|
Plan sponsor’s
address |
13933 17TH ST., DADE CITY, FL, 33525
|
Plan administrator’s name and address
Administrator’s EIN |
593734319 |
Plan administrator’s name |
MCBATH MEDICAL CENTER P.A. |
Plan administrator’s
address |
13933 17TH ST., DADE CITY, FL, 33525 |
Administrator’s telephone number |
3525213239 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MCBATH MEDICAL CENTER P.A. 401K PLAN
|
2009
|
593734319
|
2010-07-27
|
MCBATH MEDICAL CENTER P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525213239
|
Plan sponsor’s
address |
13933 17TH ST., DADE CITY, FL, 33525
|
Plan administrator’s name and address
Administrator’s EIN |
593734319 |
Plan administrator’s name |
MCBATH MEDICAL CENTER P.A. |
Plan administrator’s
address |
13933 17TH ST., DADE CITY, FL, 33525 |
Administrator’s telephone number |
3525213239 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCBATH MEDICAL CENTER P.A. 401K PLAN
|
2009
|
593734319
|
2010-06-30
|
MCBATH MEDICAL CENTER P.A.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525213239
|
Plan sponsor’s
address |
13933 17TH ST., DADE CITY, FL, 33525
|
Plan administrator’s name and address
Administrator’s EIN |
593734319 |
Plan administrator’s name |
MCBATH MEDICAL CENTER P.A. |
Plan administrator’s
address |
13933 17TH ST., DADE CITY, FL, 33525 |
Administrator’s telephone number |
3525213239 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
BRENDA MCBATH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|