RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2019
|
203566462
|
2020-06-05
|
RIVERS FAMILY MEDICINE P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527508220
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2020-06-05 |
Name of individual signing |
STEVEN RIVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2018
|
203566462
|
2019-07-17
|
RIVERS FAMILY MEDICINE P.A.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527508220
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
STEVEN RIVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2017
|
203566462
|
2018-07-18
|
RIVERS FAMILY MEDICINE P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527508220
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
STEVEN RIVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2016
|
203566462
|
2017-07-12
|
RIVERS FAMILY MEDICINE P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527508220
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
STEVEN RIVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-29 |
Name of individual signing |
DAWN WRIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2015
|
203566462
|
2016-08-01
|
RIVERS FAMILY MEDICINE P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527508220
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD., THE VILLAGES, FL, 32159
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2014
|
203566462
|
2015-10-06
|
RIVERS FAMILY MEDICINE P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3522054302
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2015-10-06 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-06 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2014
|
203566462
|
2015-10-06
|
RIVERS FAMILY MEDICINE P.A.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3522054302
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2015-10-06 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-06 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2014
|
203566462
|
2015-06-04
|
RIVERS FAMILY MEDICINE P.A.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3522054302
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2015-06-04 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-04 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2013
|
203566462
|
2014-12-09
|
RIVERS FAMILY MEDICINE P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3522054302
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2014-12-09 |
Name of individual signing |
CINDY WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-09 |
Name of individual signing |
CINDY WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERS FAMILY MEDICINE P.A. 401K PLAN
|
2012
|
203566462
|
2014-12-05
|
RIVERS FAMILY MEDICINE P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3522054302
|
Plan sponsor’s
address |
1503 BUENOS AIRES BLVD, THE VILLAGES, FL, 32159
|
Signature of
Role |
Plan administrator |
Date |
2014-12-05 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-05 |
Name of individual signing |
CYNTHIA WALLACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|