ST. AUGUSTINE NEUROLOGY, PA 401(K) PLAN
|
2023
|
208468944
|
2024-05-14
|
ST. AUGUSTINE NEUROLOGY, PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR EAST, ST. AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2024-05-14 |
Name of individual signing |
QIAN LIU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PLAN
|
2022
|
208468944
|
2023-05-27
|
ST. AUGUSTINE NEUROLOGY, PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR EAST, ST. AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-05-27 |
Name of individual signing |
CHRISTINE RIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PLAN
|
2021
|
208468944
|
2022-06-27
|
ST. AUGUSTINE NEUROLOGY, PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR EAST, ST. AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2022-06-27 |
Name of individual signing |
CHRISTINE RIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PLAN
|
2020
|
208468944
|
2021-10-16
|
ST. AUGUSTINE NEUROLOGY, PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR EAST, ST. AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
CAROL HO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2019
|
208468944
|
2020-06-26
|
ST. AUGUSTINE NEUROLOGY, PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2020-06-26 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2018
|
208468944
|
2019-08-15
|
ST. AUGUSTINE NEUROLOGY, PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2019-08-15 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2017
|
208468944
|
2018-07-05
|
ST. AUGUSTINE NEUROLOGY, PA
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2016
|
208468944
|
2017-06-20
|
ST. AUGUSTINE NEUROLOGY, PA
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2015
|
208468944
|
2016-09-27
|
ST. AUGUSTINE NEUROLOGY, PA
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. AUGUSTINE NEUROLOGY, PA 401(K) PS PLAN
|
2014
|
208468944
|
2015-08-14
|
ST. AUGUSTINE NEUROLOGY, PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9048242201
|
Plan sponsor’s
address |
301 HEALTH PARK BLVD, #220, ST. AUGUSTINE, FL, 32086
|
Plan administrator’s name and address
Administrator’s EIN |
208468944 |
Plan administrator’s name |
ST. AUGUSTINE NEUROLOGY, PA |
Plan administrator’s
address |
301 HEALTH PARK BLVD, #220, ST. AUGUSTINE, FL, 32086 |
Administrator’s telephone number |
9048242201 |
Signature of
Role |
Plan administrator |
Date |
2015-08-14 |
Name of individual signing |
JUEYANG WEI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|