OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2023
|
650650144
|
2024-09-03
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2024-09-03 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2022
|
650650144
|
2024-09-03
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
75
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2024-09-03 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2022
|
650650144
|
2024-10-08
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2021
|
650650144
|
2023-02-13
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2023-02-13 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2020
|
650650144
|
2021-10-14
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2019
|
650650144
|
2020-10-15
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2018
|
650650144
|
2019-10-14
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2017
|
650650144
|
2018-10-15
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2016
|
650650144
|
2017-10-16
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
39
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
PURUS MITRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCALA LUNG & CRITICAL CARE 401(K) PLAN
|
2016
|
650650144
|
2018-10-15
|
OCALA LUNG & CRITICAL CARE ASSOCIATES, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-02-01
|
Business code |
621399
|
Sponsor’s telephone number |
3527325552
|
Plan sponsor’s
address |
1834 S.W. 1ST AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
PURUSHOTTAM MITRA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|