RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2023
|
593156812
|
2024-07-17
|
RANDALL P. RICHE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
4700 BAYOU BLVD STE 1B, PENSACOLA, FL, 32503
|
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-17 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2022
|
593156812
|
2023-03-29
|
RANDALL P. RICHE, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2023-03-29 |
Name of individual signing |
RANDY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2021
|
593156812
|
2022-03-10
|
RANDALL P. RICHE, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2022-03-10 |
Name of individual signing |
RANDY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2020
|
593156812
|
2021-05-26
|
RANDALL P. RICHE, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2021-05-26 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2019
|
593156812
|
2020-08-05
|
RANDALL P. RICHE, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
4700 BAYOU BLVD STE 1B, SUITE 438, PENSACOLA, FL, 32503 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2020-08-05 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2018
|
593156812
|
2019-05-30
|
RANDALL P. RICHE, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2019-05-30 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2017
|
593156812
|
2018-07-06
|
RANDALL P. RICHE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2016
|
593156812
|
2017-06-07
|
RANDALL P. RICHE, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2015
|
593156812
|
2016-02-25
|
RANDALL P. RICHE, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2016-02-25 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RANDALL P. RICHE, M.D., P.A. 401(K) P/S PLAN
|
2014
|
593156812
|
2015-07-23
|
RANDALL P. RICHE, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8504329698
|
Plan sponsor’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501
|
Plan administrator’s name and address
Administrator’s EIN |
593156812 |
Plan administrator’s name |
RANDALL P. RICHE, M.D., P.A. |
Plan administrator’s
address |
1717 NORTH E. STREET, SUITE 438, PENSACOLA, FL, 32501 |
Administrator’s telephone number |
8504329698 |
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
TAMMY RICHE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|