NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2014
|
593759215
|
2015-10-21
|
NORTH FLORIDA EYE CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Signature of
Role |
Plan administrator |
Date |
2015-10-20 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2014
|
593759215
|
2015-10-19
|
NORTH FLORIDA EYE CENTER, P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Signature of
Role |
Plan administrator |
Date |
2015-10-16 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2013
|
593759215
|
2014-10-15
|
NORTH FLORIDA EYE CENTER, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2012
|
593759215
|
2014-10-15
|
NORTH FLORIDA EYE CENTER, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2012
|
593759215
|
2013-10-15
|
NORTH FLORIDA EYE CENTER, P.A.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
NEGIN DRAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2011
|
593759215
|
2012-10-15
|
NORTH FLORIDA EYE CENTER, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Plan administrator’s name and address
Administrator’s EIN |
593759215 |
Plan administrator’s name |
NORTH FLORIDA EYE CENTER, P.A. |
Plan administrator’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605 |
Administrator’s telephone number |
3523317337 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2010
|
593759215
|
2011-10-10
|
NORTH FLORIDA EYE CENTER, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Plan administrator’s name and address
Administrator’s EIN |
593759215 |
Plan administrator’s name |
NORTH FLORIDA EYE CENTER, P.A. |
Plan administrator’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605 |
Administrator’s telephone number |
3523317337 |
Signature of
Role |
Plan administrator |
Date |
2011-10-09 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA EYE CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2009
|
593759215
|
2010-10-13
|
NORTH FLORIDA EYE CENTER, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523317337
|
Plan sponsor’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605
|
Plan administrator’s name and address
Administrator’s EIN |
593759215 |
Plan administrator’s name |
NORTH FLORIDA EYE CENTER, P.A. |
Plan administrator’s
address |
6831 NW 11TH PLACE, SUITE 1, GAINESVILLE, FL, 32605 |
Administrator’s telephone number |
3523317337 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
MAHER FANOUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|