WESTERN SURGICAL SPECIALISTS, PA PROFIT SHARING
|
2015
|
562293571
|
2016-10-04
|
WESTERN SURGICAL SPECIALISTS, P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613249633
|
Plan sponsor’s
address |
15199 TEMPLE BLVD., LOXAHATCHEE, FL, 33470
|
Signature of
Role |
Plan administrator |
Date |
2016-10-04 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-04 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SURGICAL SPECIALISTS PA PROFIT SHARING
|
2014
|
562293571
|
2015-10-09
|
WESTERN SURGICAL SPECIALISTS, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5613249633
|
Plan sponsor’s
address |
15199 TEMPLE BLVD., LOXAHATCHEE, FL, 33470
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SURGICAL SPECIALISTS, PA PROFIT SHARING PLAN
|
2013
|
562293571
|
2014-10-08
|
WESTERN SURGICAL SPECIALISTS, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612044400
|
Plan sponsor’s
address |
15199 TEMPLE BLVD., LOXAHATCHEE, FL, 33470
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-20 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SURGICAL SPECIALISTS, PA PROFIT SHARING PLAN
|
2012
|
562293571
|
2013-10-09
|
WESTERN SURGICAL SPECIALISTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612044400
|
Plan sponsor’s
address |
10115 W. FOREST HILL BLVD., 302, WELLINGTON, FL, 334143102
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WESTERN SURGICAL SPECIALISTS, PA PROFIT SHARING PLAN
|
2011
|
562293571
|
2012-10-11
|
WESTERN SURGICAL SPECIALISTS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612044400
|
Plan sponsor’s
address |
10115 W. FOREST HILL BLVD., 302, WELLINGTON, FL, 334143102
|
Plan administrator’s name and address
Administrator’s EIN |
562293571 |
Plan administrator’s name |
WESTERN SURGICAL SPECIALISTS, P.A. |
Plan administrator’s
address |
10115 W. FOREST HILL BLVD., 302, WELLINGTON, FL, 334143102 |
Administrator’s telephone number |
5612044400 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
DAMIEN JOY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|