|
PLANT CITY PEDIATRICS, INC. RETIREMENT PLAN
|
2023
|
141843856
|
2024-04-26
|
PLANT CITY PEDIATRICS, P.A.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136599800
|
| Plan sponsor’s
address |
2370 WALDEN WOODS DRIVE, SUITE A, PLANT CITY, FL, 33563
|
Signature of
| Role |
Plan administrator |
| Date |
2024-04-26 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-04-26 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PLANT CITY PEDIATRICS, INC. RETIREMENT PLAN
|
2022
|
141843856
|
2023-06-12
|
PLANT CITY PEDIATRICS, P.A.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136599800
|
| Plan sponsor’s
address |
2370 WALDEN WOODS DRIVE, SUITE A, PLANT CITY, FL, 33563
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-12 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-12 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PLANT CITY PEDIATRICS, INC. RETIREMENT PLAN
|
2021
|
141843856
|
2022-05-18
|
PLANT CITY PEDIATRICS, P.A.
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136599800
|
| Plan sponsor’s
address |
2370 WALDEN WOODS DRIVE, SUITE A, PLANT CITY, FL, 33563
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-18 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-05-18 |
| Name of individual signing |
TIMOTHY B WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PLANT CITY PEDIATRICS, INC. RETIREMENT PLAN
|
2020
|
141843856
|
2021-05-10
|
PLANT CITY PEDIATRICS, P.A.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136599800
|
| Plan sponsor’s
address |
2370 WALDEN WOODS DRIVE, SUITE A, PLANT CITY, FL, 33563
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-10 |
| Name of individual signing |
TIMOTHY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-05-10 |
| Name of individual signing |
TIMOTHY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PLANT CITY PEDIATRICS, INC. RETIREMENT PLAN
|
2019
|
141843856
|
2020-06-24
|
PLANT CITY PEDIATRICS, P.A.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136599800
|
| Plan sponsor’s
address |
2370 WALDEN WOODS DRIVE, SUITE A, PLANT CITY, FL, 33563
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-24 |
| Name of individual signing |
TIMOTHY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-06-24 |
| Name of individual signing |
TIMOTHY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
