|
EMPLOYEE 401(K) SAVINGS PLAN
|
2023
|
200189193
|
2024-08-01
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
97
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
10312 BLOOMINGDALE AVE STE 108, PMB 379, RIVERVIEW, FL, 335783603
|
Signature of
| Role |
Plan administrator |
| Date |
2024-08-01 |
| Name of individual signing |
KATIE HERSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2022
|
200189193
|
2023-06-01
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
103
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVE, TAMPA, FL, 336062639
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-01 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2021
|
200189193
|
2022-07-09
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
104
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVE, TAMPA, FL, 336062639
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-09 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2020
|
200189193
|
2021-06-28
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
92
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVE, TAMPA, FL, 336062639
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-28 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2019
|
200189193
|
2020-07-01
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
62
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVE, TAMPA, FL, 336062639
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-01 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2018
|
200189193
|
2019-07-08
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
52
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVE, TAMPA, FL, 336062639
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-08 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE 401(K) SAVINGS PLAN
|
2017
|
200189193
|
2018-07-17
|
KEYSTONE HEALTHCARE HOLDINGS INC
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8132535400
|
| Plan sponsor’s
address |
1201 W SWANN AVNEUE, TAMPA, FL, 33606
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-17 |
| Name of individual signing |
ANDREW PORTELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
