|
FLORIDA FIRST CARE 401(K) PLAN
|
2018
|
593181248
|
2019-09-20
|
FLORIDA FIRST CARE, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2016-07-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
9045793927
|
| Plan sponsor’s
address |
2020 KINGSLEY AVENUE, SUITE E, ORANGE PARK, FL, 32073
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2019-09-19 |
| Name of individual signing |
DONAL K. FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA FIRST CARE 401(K) PLAN
|
2018
|
593181248
|
2019-08-16
|
FLORIDA FIRST CARE, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2016-07-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
9045793927
|
| Plan sponsor’s
address |
2020 KINGSLEY AVENUE, SUITE E, ORANGE PARK, FL, 32073
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2019-08-14 |
| Name of individual signing |
DONAL K. FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA FIRST CARE 401(K) PLAN
|
2017
|
593181248
|
2018-10-02
|
FLORIDA FIRST CARE, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2016-07-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
9045793927
|
| Plan sponsor’s
address |
2020 KINGSLEY AVENUE, SUITE E, ORANGE PARK, FL, 32073
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2018-10-02 |
| Name of individual signing |
DONAL K. FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA FIRST CARE 401(K) PLAN
|
2016
|
593181248
|
2017-10-14
|
FLORIDA FIRST CARE, INC.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2016-07-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
9045793927
|
| Plan sponsor’s
address |
2020 KINGSLEY AVENUE, SUITE E, ORANGE PARK, FL, 32073
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2017-10-13 |
| Name of individual signing |
DONAL K. FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLORIDA FIRST CARE 401(K) SPIN-OFF PLAN
|
2012
|
593181248
|
2014-02-25
|
FLORIDA FIRST CARE, INC.
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-12-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
9045378359
|
| Plan sponsor’s
address |
6050 ST. JOHNS AVENUE, SUITE 4, PALATKA, FL, 32177
|
Signature of
| Role |
Plan administrator |
| Date |
2014-02-25 |
| Name of individual signing |
CHARLES W ENGELBRECHT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-02-25 |
| Name of individual signing |
CHARLES W ENGELBRECHT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
