MARION HEART CENTER, P.A. 401(K) PLAN
|
2015
|
203316494
|
2016-07-29
|
MARION HEART CENTER, P.A.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-29 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION HEART CENTER, P.A. 401(K) PLAN
|
2014
|
203316494
|
2015-11-13
|
MARION HEART CENTER, P.A.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Signature of
Role |
Plan administrator |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION HEART CENTER, P.A. 401(K) PLAN
|
2013
|
203316494
|
2015-11-13
|
MARION HEART CENTER, P.A.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Signature of
Role |
Plan administrator |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION HEART CENTER, P.A. 401(K) PLAN
|
2012
|
203316494
|
2013-08-13
|
MARION HEART CENTER, P.A.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION HEART CENTER, P.A. 401(K) PLAN
|
2011
|
203316494
|
2015-11-13
|
MARION HEART CENTER, P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Plan administrator’s name and address
Administrator’s EIN |
203316494 |
Plan administrator’s name |
MARION HEART CENTER, P.A. |
Plan administrator’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926 |
Administrator’s telephone number |
3527323005 |
Signature of
Role |
Plan administrator |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-13 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARION HEART CENTER, P.A. 401(K) PLAN
|
2009
|
203316494
|
2010-07-22
|
MARION HEART CENTER, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527323005
|
Plan sponsor’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926
|
Plan administrator’s name and address
Administrator’s EIN |
203316494 |
Plan administrator’s name |
MARION HEART CENTER, P.A. |
Plan administrator’s
address |
1040 SW 2ND AVE, OCALA, FL, 344710926 |
Administrator’s telephone number |
3527323005 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-22 |
Name of individual signing |
BETTY GOODRICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|