|
WESTERN COMMUNITIES FAMILY PRACTICE 401(K) PLAN
|
2010
|
650397979
|
2011-07-19
|
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC.
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617935155
|
| Plan sponsor’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
| Administrator’s EIN |
650397979 |
| Plan administrator’s name |
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC. |
| Plan administrator’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414 |
| Administrator’s telephone number |
5617935155 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
SHAH QURAESHI |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
WESTERN COMMUNITIES FAMILY PRACTICE 401(K) PLAN
|
2010
|
650397979
|
2011-07-19
|
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617935155
|
| Plan sponsor’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
| Administrator’s EIN |
650397979 |
| Plan administrator’s name |
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC. |
| Plan administrator’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414 |
| Administrator’s telephone number |
5617935155 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
SHAH QURAESHI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WESTERN COMMUNITIES FAMILY PRACTICE 401(K) PLAN
|
2010
|
650397979
|
2011-06-01
|
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC.
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617935155
|
| Plan sponsor’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
| Administrator’s EIN |
650397979 |
| Plan administrator’s name |
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC. |
| Plan administrator’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414 |
| Administrator’s telephone number |
5617935155 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-01 |
| Name of individual signing |
SHAH QURAESHI |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
WESTERN COMMUNITIES FAMILY PRACTICE 401(K) PLAN
|
2009
|
650397979
|
2010-09-28
|
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC.
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617935155
|
| Plan sponsor’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
| Administrator’s EIN |
650397979 |
| Plan administrator’s name |
WESTERN COMMUNITIES FAMILY PRACTICE ASSOCIATES, INC. |
| Plan administrator’s
address |
11924 W FOREST HILL BLVD STE 22, BOX 335, WELLINGTON, FL, 33414 |
| Administrator’s telephone number |
5617935155 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-28 |
| Name of individual signing |
LORRAINE STEVENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
