AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2019
|
593313217
|
2020-01-07
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2020-01-07 |
Name of individual signing |
PLAN SPONSOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2018
|
593313217
|
2019-09-23
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE, DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2019-09-23 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2017
|
593313217
|
2018-07-26
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2016
|
593313217
|
2017-07-28
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2015
|
593313217
|
2016-07-01
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2016-07-01 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2014
|
593313217
|
2015-06-18
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-18 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2013
|
593313217
|
2014-07-09
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-09 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN MEDICAL ENDOSCOPY, INC. RETIREMENT TRUST
|
2012
|
593313217
|
2013-07-01
|
AMERICAN MEDICAL ENDOSCOPY, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
3054360599
|
Plan sponsor’s
address |
3020 NW 82ND AVE., DORAL, FL, 33122
|
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-01 |
Name of individual signing |
CHARLES BOURLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|