GOLDSON SPINE 401(K) PLAN
|
2023
|
650387194
|
2024-06-04
|
FIDEL S. GOLDSON, D.C., P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-08-01
|
Business code |
621310
|
Sponsor’s telephone number |
9549605960
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLDSON SPINE 401(K) PLAN
|
2022
|
650387194
|
2023-05-31
|
FIDEL S. GOLDSON, D.C., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-08-01
|
Business code |
621310
|
Sponsor’s telephone number |
9549605960
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLDSON SPINE 401(K) PLAN
|
2021
|
650387194
|
2022-05-10
|
FIDEL S. GOLDSON, D.C., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-08-01
|
Business code |
621310
|
Sponsor’s telephone number |
9549605960
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2022-05-10 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLDSON SPINE 401(K) PLAN
|
2020
|
650387194
|
2021-07-06
|
FIDEL S. GOLDSON, D.C., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-08-01
|
Business code |
621310
|
Sponsor’s telephone number |
9549605960
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2021-07-06 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-06 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOLDSON SPINE 401(K) PLAN
|
2019
|
650387194
|
2020-05-29
|
FIDEL S. GOLDSON, D.C., P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-08-01
|
Business code |
621310
|
Sponsor’s telephone number |
9549605960
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2020-05-29 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-29 |
Name of individual signing |
SHEREECE SPENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDEL S. GOLDSON, D.C., P.A. 401 (K) PLAN
|
2013
|
650387194
|
2014-10-13
|
FIDEL S. GOLDSON, D.C., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9545843774
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
JAY SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
JAY SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDEL S. GOLDSON, D.C., P.A. 401(K) PLAN
|
2012
|
650387194
|
2013-11-05
|
FIDEL S. GOLDSON, D.C., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9545843774
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Signature of
Role |
Plan administrator |
Date |
2013-11-05 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIDEL S. GOLDSON, D.C., P.A. 401(K) PLAN
|
2011
|
650387194
|
2012-07-19
|
FIDEL S. GOLDSON, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9545843774
|
Plan sponsor’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317
|
Plan administrator’s name and address
Administrator’s EIN |
650387194 |
Plan administrator’s name |
FIDEL S. GOLDSON, D.C., P.A. |
Plan administrator’s
address |
734 NORTH STATE ROAD 7, PLANTATION, FL, 33317 |
Administrator’s telephone number |
9545843774 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|