NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2020
|
208353816
|
2021-09-22
|
NORTH FLORIDA PAIN CENTER, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2019
|
208353816
|
2020-10-12
|
NORTH FLORIDA PAIN CENTER, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2018
|
208353816
|
2019-07-25
|
NORTH FLORIDA PAIN CENTER, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2017
|
208353816
|
2018-10-05
|
NORTH FLORIDA PAIN CENTER, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2016
|
208353816
|
2017-10-05
|
NORTH FLORIDA PAIN CENTER, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2015
|
208353816
|
2016-10-04
|
NORTH FLORIDA PAIN CENTER, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2014
|
208353816
|
2015-10-14
|
NORTH FLORIDA PAIN CENTER, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2013
|
208353816
|
2014-09-30
|
NORTH FLORIDA PAIN CENTER, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN AND TRUST
|
2012
|
208353816
|
2013-08-29
|
NORTH FLORIDA PAIN CENTER, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
JEFFREY CAUDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
JEFFREY CAUDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH FLORIDA PAIN CENTER, P.A. RETIREMENT PLAN
|
2011
|
208353816
|
2012-03-22
|
NORTH FLORIDA PAIN CENTER, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
9043175069
|
Plan sponsor’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210
|
Plan administrator’s name and address
Administrator’s EIN |
208353816 |
Plan administrator’s name |
NORTH FLORIDA PAIN CENTER, P.A. |
Plan administrator’s
address |
5851 TIMUQUANA ROAD, SUITE 401, JACKSONVILLE, FL, 32210 |
Administrator’s telephone number |
9043175069 |
Signature of
Role |
Plan administrator |
Date |
2012-03-20 |
Name of individual signing |
JEFFREY CAUDILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|