|
CENTRAL FLORIDA PHYSIATRISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593224058
|
2014-10-15
|
CENTRAL FLORIDA PHYSIATRISTS, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4073526900
|
| Plan sponsor’s
address |
10345 ORANGEWOOD BLVD, ORLANDO, FL, 32821
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-15 |
| Name of individual signing |
JANE SHAWVER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL FLORIDA PHYSIATRISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593224058
|
2013-07-19
|
CENTRAL FLORIDA PHYSIATRISTS, P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4073526900
|
| Plan sponsor’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-19 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL FLORIDA PHYSIATRISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593224058
|
2012-07-24
|
CENTRAL FLORIDA PHYSIATRISTS, P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4073526900
|
| Plan sponsor’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821
|
Plan administrator’s name and address
| Administrator’s EIN |
593224058 |
| Plan administrator’s name |
CENTRAL FLORIDA PHYSIATRISTS, P.A. |
| Plan administrator’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821 |
| Administrator’s telephone number |
4073526900 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-24 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-24 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL FLORIDA PHYSIATRISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593224058
|
2011-03-13
|
CENTRAL FLORIDA PHYSIATRISTS, P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4073526900
|
| Plan sponsor’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821
|
Plan administrator’s name and address
| Administrator’s EIN |
593224058 |
| Plan administrator’s name |
CENTRAL FLORIDA PHYSIATRISTS, P.A. |
| Plan administrator’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821 |
| Administrator’s telephone number |
4073526900 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-13 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-03-13 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL FLORIDA PHYSIATRISTS, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593224058
|
2010-05-13
|
CENTRAL FLORIDA PHYSIATRISTS, P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1994-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4073526900
|
| Plan sponsor’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821
|
Plan administrator’s name and address
| Administrator’s EIN |
593224058 |
| Plan administrator’s name |
CENTRAL FLORIDA PHYSIATRISTS, P.A. |
| Plan administrator’s
address |
10345 ORANGEWOOD BLVD., ORLANDO, FL, 32821 |
| Administrator’s telephone number |
4073526900 |
Signature of
| Role |
Plan administrator |
| Date |
2010-05-13 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-05-13 |
| Name of individual signing |
DAVID HADDOCK, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
