ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
262913971
|
2018-08-23
|
ASSOCIATES IN INTERNAL MEDICINE P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
9048061141
|
Plan sponsor’s
address |
3700 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867150
|
Signature of
Role |
Plan administrator |
Date |
2018-08-23 |
Name of individual signing |
MAITE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
262913971
|
2017-09-21
|
ASSOCIATES IN INTERNAL MEDICINE P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
9048061141
|
Plan sponsor’s
address |
3700 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867150
|
Signature of
Role |
Plan administrator |
Date |
2017-09-21 |
Name of individual signing |
MAITE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
262913971
|
2016-08-22
|
ASSOCIATES IN INTERNAL MEDICINE P.A
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
3867953624
|
Plan sponsor’s
address |
3700 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867150
|
Signature of
Role |
Plan administrator |
Date |
2016-08-22 |
Name of individual signing |
KELLIE PIKE-DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
262913971
|
2015-10-02
|
ASSOCIATES IN INTERNAL MEDICINE P.A
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
3867953624
|
Plan sponsor’s
address |
3700 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320867150
|
Signature of
Role |
Plan administrator |
Date |
2015-10-02 |
Name of individual signing |
KELLIE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-02 |
Name of individual signing |
KELLIE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
262913971
|
2014-09-09
|
ASSOCIATES IN INTERNAL MEDICINE P.A
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
3867953624
|
Plan sponsor’s
address |
252 SOUTHPARK CIRCLE EAST, SAINT AUGUSTINE, FL, 32086
|
Signature of
Role |
Plan administrator |
Date |
2014-09-09 |
Name of individual signing |
KELLIE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATES IN INTERNAL MEDICINE 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
262913971
|
2013-09-11
|
ASSOCIATES IN INTERNAL MEDICINE P.A
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-04-10
|
Business code |
621111
|
Sponsor’s telephone number |
3867953624
|
Plan sponsor’s
address |
252 SOUTHPARK CIRCLE EAST, SAINT AUGUSTINE, FL, 32086
|
Signature of
Role |
Plan administrator |
Date |
2013-09-11 |
Name of individual signing |
KELLIE E. PIKE DELAMERENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|