TREASURE COAST SURGICAL GROUP, P.A. EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2011
|
650676504
|
2012-07-19
|
TREASURE COAST SURGICAL GROUP, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
KEVIN J. DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-19 |
Name of individual signing |
KEVIN J. DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREASURE COAST SURGICAL GROUP, P.A. EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2011
|
650676504
|
2012-05-15
|
TREASURE COAST SURGICAL GROUP, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
KEVIN DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-15 |
Name of individual signing |
KEVIN DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREASURE COAST SURGICAL GROUP, P.A. SALARY SAVINGS AND RETIREMENT PLAN
|
2010
|
650676504
|
2011-07-05
|
TREASURE COAST SURGICAL GROUP, P.A.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 SE OCEAN BLVD SUITE 200, STUART, FL, 34996
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 SE OCEAN BLVD SUITE 200, STUART, FL, 34996 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
W. EDWARD WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
W. EDWARD WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREASURE COAST SURGICAL GROUP, P.A. EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2010
|
650676504
|
2011-10-04
|
TREASURE COAST SURGICAL GROUP, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
KEVIN DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
KEVIN DONOVAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREASURE COAST SURGICAL GROUP, P.A. SALARY SAVINGS AND RETIREMENT PLAN
|
2009
|
650676504
|
2010-10-08
|
TREASURE COAST SURGICAL GROUP, P.A.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 SE OCEAN BLVD SUITE 200, STUART, FL, 34996
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 SE OCEAN BLVD SUITE 200, STUART, FL, 34996 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
W. EDWARD WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
W. EDWARD WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TREASURE COAST SURGICAL GROUP, P.A. EMPLOYEES DEFINED BENEFIT PENSION PLAN
|
2009
|
650676504
|
2010-07-29
|
TREASURE COAST SURGICAL GROUP, P.A.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7722194026
|
Plan sponsor’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341
|
Plan administrator’s name and address
Administrator’s EIN |
650676504 |
Plan administrator’s name |
TREASURE COAST SURGICAL GROUP, P.A. |
Plan administrator’s
address |
2221 S.E. OCEAN BLVD., SUITE 200, STUART, FL, 349963341 |
Administrator’s telephone number |
7722194026 |
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
WALLACE E WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-29 |
Name of individual signing |
WALLACE E WENGLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|