MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
593743837
|
2024-10-02
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073834042
|
Plan sponsor’s
address |
5717 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32708
|
Signature of
Role |
Plan administrator |
Date |
2024-10-02 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-02 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
593743837
|
2023-10-04
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5717 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32708
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-04 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
593743837
|
2022-10-11
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-11 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
593743837
|
2021-10-15
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
593743837
|
2020-10-06
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-06 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
593743837
|
2019-10-09
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
593743837
|
2018-10-15
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
593743837
|
2017-10-15
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2017-10-15 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-15 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593743837
|
2016-10-14
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
TANYA AGARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593743837
|
2015-10-13
|
MID FLORIDA HOSPITAL SPECIALISTS, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4072155600
|
Plan sponsor’s
address |
5703 RED BUG LAKE ROAD, SUITE 341, WINTER SPRINGS, FL, 32765
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
TANYA AGARD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|