ORTHOPAEDIC SPECIALISTS OF BREVARD DEFINED BENEFIT PLAN
|
2010
|
201212440
|
2011-04-05
|
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212552665
|
Plan sponsor’s mailing address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan sponsor’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan administrator’s name and address
Administrator’s EIN |
201212440 |
Plan administrator’s name |
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A. |
Plan administrator’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935 |
Administrator’s telephone number |
3212552665 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-04-05 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-05 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDIC SPECIALISTS OF BREVARD PROFIT SHARING PLAN
|
2010
|
201212440
|
2011-03-18
|
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212552665
|
Plan sponsor’s mailing address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan sponsor’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan administrator’s name and address
Administrator’s EIN |
201212440 |
Plan administrator’s name |
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A. |
Plan administrator’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935 |
Administrator’s telephone number |
3212552665 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-18 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-18 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDIC SPECIALISTS OF BREVARD PROFIT SHARING PLAN
|
2009
|
201212440
|
2010-10-11
|
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212552665
|
Plan sponsor’s mailing address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan sponsor’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan administrator’s name and address
Administrator’s EIN |
201212440 |
Plan administrator’s name |
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A. |
Plan administrator’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935 |
Administrator’s telephone number |
3212552665 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHOPAEDIC SPECIALISTS OF BREVARD DEFINED BENEFIT PLAN
|
2009
|
201212440
|
2010-10-11
|
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3212552665
|
Plan sponsor’s mailing address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan sponsor’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935
|
Plan administrator’s name and address
Administrator’s EIN |
201212440 |
Plan administrator’s name |
ORTHOPAEDIC SPECIALISTS OF BREVARD, P.A. |
Plan administrator’s
address |
2290 WEST EAU GALLIE BLVD., SUITE 205A, MELBOURNE, FL, 32935 |
Administrator’s telephone number |
3212552665 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
LYALL ASHBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|