FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) RETIREMENT PLAN
|
2023
|
271866687
|
2024-10-15
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. CASH BALANCE PLAN
|
2023
|
271866687
|
2024-10-15
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. CASH BALANCE PLAN
|
2022
|
271866687
|
2023-10-12
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
DR. MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) RETIREMENT PLAN
|
2022
|
271866687
|
2023-10-12
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
DR. MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
271866687
|
2021-07-28
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
CLAUDIA MAJURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
CLAUDIA MAJURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
271866687
|
2021-07-28
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
CLAUDIA MAJURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
CLAUDIA MAJURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
271866687
|
2020-07-28
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
MICHAEL BAPTISTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
271866687
|
2019-09-19
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2019-09-19 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-19 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. CASH BALANCE PLAN
|
2017
|
271866687
|
2018-07-02
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-02 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLORIDA SURGICAL PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
271866687
|
2018-07-12
|
FLORIDA SURGICAL PHYSICIANS, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9047242263
|
Plan sponsor’s
address |
9471 BAYMEADOWS ROAD, SUITE 207, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
MICHAEL BAPTISTA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|