ROYAL PALM BEACH MEDICAL GROUP RETIREMENT PLAN
|
2013
|
650501184
|
2014-08-11
|
ROYAL PALM BEACH MEDICAL GROUP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617980875
|
Plan sponsor’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2014-08-11 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROYAL PALM BEACH MEDICAL GROUP RETIREMENT PLAN
|
2012
|
650501184
|
2013-09-25
|
ROYAL PALM BEACH MEDICAL GROUP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617980875
|
Plan sponsor’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROYAL PALM BEACH MEDICAL GROUP RETIREMENT PLAN
|
2011
|
650501184
|
2012-10-11
|
ROYAL PALM BEACH MEDICAL GROUP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617980875
|
Plan sponsor’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
|
Plan administrator’s name and address
Administrator’s EIN |
650501184 |
Plan administrator’s name |
ROYAL PALM BEACH MEDICAL GROUP |
Plan administrator’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411 |
Administrator’s telephone number |
5617980875 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROYAL PALM BEACH MEDICAL GROUP RETIREMENT PLAN
|
2010
|
650501184
|
2011-10-11
|
ROYAL PALM BEACH MEDICAL GROUP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617980875
|
Plan sponsor’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
|
Plan administrator’s name and address
Administrator’s EIN |
650501184 |
Plan administrator’s name |
ROYAL PALM BEACH MEDICAL GROUP |
Plan administrator’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411 |
Administrator’s telephone number |
5617980875 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROYAL PALM BEACH MEDICAL GROUP RETIREMENT PLAN
|
2009
|
650501184
|
2010-10-12
|
ROYAL PALM BEACH MEDICAL GROUP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617980875
|
Plan sponsor’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411
|
Plan administrator’s name and address
Administrator’s EIN |
650501184 |
Plan administrator’s name |
ROYAL PALM BEACH MEDICAL GROUP |
Plan administrator’s
address |
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411 |
Administrator’s telephone number |
5617980875 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
WILLIAM STECHSCHULTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|