FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
650732159
|
2016-10-15
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
CLIFTON H RODRIQUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-15 |
Name of individual signing |
CLIFTON H RODRIQUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
650732159
|
2016-10-15
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
CLIFTON H RODRIQUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-15 |
Name of individual signing |
CLIFTON H RODRIQUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
650732159
|
2015-10-15
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
650732159
|
2014-10-15
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
SERGE L ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTHCARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
650732159
|
2013-10-15
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
650732159
|
2012-09-28
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Plan administrator’s name and address
Administrator’s EIN |
650732159 |
Plan administrator’s name |
FAMILY HEALTH CARE OF DELRAY, INC. |
Plan administrator’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445 |
Administrator’s telephone number |
5612768444 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-28 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
650732159
|
2011-07-20
|
FAMILY HEALTH CARE OF DELRAY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5612768444
|
Plan sponsor’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
|
Plan administrator’s name and address
Administrator’s EIN |
650732159 |
Plan administrator’s name |
FAMILY HEALTH CARE OF DELRAY, INC. |
Plan administrator’s
address |
1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445 |
Administrator’s telephone number |
5612768444 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-20 |
Name of individual signing |
SERGE L. ALEXANDRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|