MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2014
|
593188715
|
2015-04-09
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Signature of
Role |
Plan administrator |
Date |
2015-04-09 |
Name of individual signing |
MARTHA MCLEOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-09 |
Name of individual signing |
MARTHA MCLEOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2013
|
593188715
|
2014-07-30
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2012
|
593188715
|
2013-07-29
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-29 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2011
|
593188715
|
2012-07-20
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Plan administrator’s name and address
Administrator’s EIN |
593188715 |
Plan administrator’s name |
MCLEOD ORTHOPEDIC CLINIC, P.A. |
Plan administrator’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325 |
Administrator’s telephone number |
3864249601 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
WILLIAM MCLEOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-20 |
Name of individual signing |
WILLIAM MCLEOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2010
|
593188715
|
2011-04-22
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Plan administrator’s name and address
Administrator’s EIN |
593188715 |
Plan administrator’s name |
MCLEOD ORTHOPEDIC CLINIC, P.A. |
Plan administrator’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325 |
Administrator’s telephone number |
3864249601 |
Signature of
Role |
Plan administrator |
Date |
2011-04-22 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-22 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2009
|
593188715
|
2010-10-18
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Plan administrator’s name and address
Administrator’s EIN |
593188715 |
Plan administrator’s name |
MCLEOD ORTHOPEDIC CLINIC, P.A. |
Plan administrator’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325 |
Administrator’s telephone number |
3864249601 |
Signature of
Role |
Plan administrator |
Date |
2010-10-18 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-18 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2009
|
593188715
|
2010-10-11
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Plan administrator’s name and address
Administrator’s EIN |
593188715 |
Plan administrator’s name |
MCLEOD ORTHOPEDIC CLINIC, P.A. |
Plan administrator’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325 |
Administrator’s telephone number |
3864249601 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MCLEOD ORTHOPEDIC RETIREMENT PLAN
|
2009
|
593188715
|
2010-04-20
|
MCLEOD ORTHOPEDIC CLINIC, P.A.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3864249601
|
Plan sponsor’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325
|
Plan administrator’s name and address
Administrator’s EIN |
593188715 |
Plan administrator’s name |
MCLEOD ORTHOPEDIC CLINIC, P.A. |
Plan administrator’s
address |
504 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687325 |
Administrator’s telephone number |
3864249601 |
Signature of
Role |
Plan administrator |
Date |
2010-04-16 |
Name of individual signing |
APRIL DESIMONE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-16 |
Name of individual signing |
WILLIAM MCLEOD, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|