CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2014
|
261395792
|
2015-06-29
|
CITRUS CHIROPRACTIC GROUP, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428
|
Plan administrator’s name and address
Administrator’s EIN |
462023154 |
Plan administrator’s name |
FIRST PARTY ADMINISTRATOR, LLC |
Plan administrator’s
address |
5352 PEACHTREE ROAD, ATLANTA, GA, 30341 |
Administrator’s telephone number |
8004872040 |
Signature of
Role |
Plan administrator |
Date |
2015-05-04 |
Name of individual signing |
JOHN A. STARR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-29 |
Name of individual signing |
SHERRI HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2013
|
261395792
|
2014-07-10
|
CITRUS CHIROPRACTIC GROUP, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
SHERRI HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2012
|
261395792
|
2013-04-22
|
CITRUS CHIROPRACTIC GROUP, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
|
Plan administrator’s name and address
Administrator’s EIN |
261395792 |
Plan administrator’s name |
CITRUS CHIROPRACTIC GROUP, INC. |
Plan administrator’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810 |
Administrator’s telephone number |
3527955350 |
Signature of
Role |
Plan administrator |
Date |
2013-04-22 |
Name of individual signing |
SHERRI HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2011
|
261395792
|
2012-07-17
|
CITRUS CHIROPRACTIC GROUP, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
|
Plan administrator’s name and address
Administrator’s EIN |
261395792 |
Plan administrator’s name |
CITRUS CHIROPRACTIC GROUP, INC. |
Plan administrator’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810 |
Administrator’s telephone number |
3527955350 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
SHERRI HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2010
|
261395792
|
2011-07-07
|
CITRUS CHIROPRACTIC GROUP, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
|
Plan administrator’s name and address
Administrator’s EIN |
261395792 |
Plan administrator’s name |
CITRUS CHIROPRACTIC GROUP, INC. |
Plan administrator’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810 |
Administrator’s telephone number |
3527955350 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
SHERRI HOFFMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN
|
2009
|
261395792
|
2010-05-11
|
CITRUS CHIROPRACTIC GROUP, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3527955350
|
Plan sponsor’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
|
Plan administrator’s name and address
Administrator’s EIN |
261395792 |
Plan administrator’s name |
CITRUS CHIROPRACTIC GROUP, INC. |
Plan administrator’s
address |
2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810 |
Administrator’s telephone number |
3527955350 |
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
KELLY BECKETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
KELLY BECKETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|