SCOTT B. ELSBREE, M.D., P.A
|
2023
|
900131743
|
2024-06-10
|
SCOTT B. ELSBREE, M.D., P.A
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9413421333
|
Plan sponsor’s
address |
2601 CATTLEMAN ROAD, SUITE 304, SARASOTA, FL, 34232
|
Signature of
Role |
Plan administrator |
Date |
2024-06-10 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT B. ELSBREE, M. D. , P. A. 401(K) PLAN
|
2022
|
900131743
|
2023-05-30
|
SCOTT B. ELSBREE, M.D., P.A
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9413421333
|
Plan sponsor’s
address |
2601 CATTLEMAN ROAD, SUITE 304, SARASOTA, FL, 34232
|
Signature of
Role |
Plan administrator |
Date |
2023-05-30 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-30 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT B. ELSBREE, M. D. , P. A. 401(K) PLAN
|
2021
|
900131743
|
2022-06-30
|
SCOTT B. ELSBREE, M.D., P.A
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9413421333
|
Plan sponsor’s
address |
2601 CATTLEMAN ROAD, SUITE 304, SARASOTA, FL, 34232
|
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-30 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT B. ELSBREE, M. D. , P. A. 401(K) PLAN
|
2020
|
900131743
|
2021-07-02
|
SCOTT B. ELSBREE, M.D., P.A
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9413421333
|
Plan sponsor’s
address |
2601 CATTLEMAN ROAD, SUITE 304, SARASOTA, FL, 34232
|
Signature of
Role |
Plan administrator |
Date |
2021-07-02 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-02 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTT B. ELSBREE, M. D. , P. A. 401(K) PLAN
|
2019
|
900131743
|
2020-10-06
|
SCOTT B. ELSBREE, M.D., P.A
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9413421333
|
Plan sponsor’s
address |
2601 CATTLEMAN ROAD, SUITE 304, SARASOTA, FL, 34232
|
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-06 |
Name of individual signing |
CHERYL ELSBREE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|