ZIEHM IMAGING 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
330304676
|
2021-09-14
|
ZIEHM IMAGING INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DRIVE, ORLANDO, FL, 32822
|
Signature of
Role |
Plan administrator |
Date |
2021-09-14 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
330304676
|
2020-07-22
|
ZIEHM IMAGING INC.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DRIVE, ORLANDO, FL, 32822
|
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
330304676
|
2019-07-10
|
ZIEHM IMAGING INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DRIVE, ORLANDO, FL, 32822
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
330304676
|
2018-07-16
|
ZIEHM IMAGING INC.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DRIVE, ORLANDO, FL, 32822
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2016
|
330304676
|
2017-07-20
|
ZIEHM IMAGING INC
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2015
|
330304676
|
2016-05-10
|
ZIEHM IMAGING INC
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Signature of
Role |
Plan administrator |
Date |
2016-05-10 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2014
|
330304676
|
2015-07-22
|
ZIEHM IMAGING INC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2013
|
330304676
|
2014-07-10
|
ZIEHM IMAGING INC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
ANA DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2012
|
330304676
|
2013-05-15
|
ZIEHM IMAGING INC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
ZIEHM IMAGING INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ZIEHM IMAGING 401 K PROFIT SHARING PLAN TRUST
|
2011
|
330304676
|
2012-07-25
|
ZIEHM IMAGING INC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
4076158560
|
Plan sponsor’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114
|
Plan administrator’s name and address
Administrator’s EIN |
330304676 |
Plan administrator’s name |
ZIEHM IMAGING INC |
Plan administrator’s
address |
6280 HAZELTINE NATIONAL DR # 1, ORLANDO, FL, 328225114 |
Administrator’s telephone number |
4076158560 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
ZIEHM IMAGING INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|