|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A. 401(K) PLAN
|
2014
|
593461010
|
2015-05-18
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8504731121
|
| Plan sponsor’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504
|
Signature of
| Role |
Plan administrator |
| Date |
2015-05-18 |
| Name of individual signing |
THOMAS G WESTBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A. 401(K) PLAN
|
2013
|
593461010
|
2014-07-29
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8504731121
|
| Plan sponsor’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-29 |
| Name of individual signing |
THOMAS G WESTBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A. 401(K) PLAN
|
2012
|
593461010
|
2013-10-15
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8504731121
|
| Plan sponsor’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
THOMAS G WESTBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A. 401(K) PLAN
|
2011
|
593461010
|
2012-10-03
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8504731121
|
| Plan sponsor’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504
|
Plan administrator’s name and address
| Administrator’s EIN |
593461010 |
| Plan administrator’s name |
ALLERGY & ASTHMA CENTER OF NORTHWES |
| Plan administrator’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504 |
| Administrator’s telephone number |
8504731121 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-03 |
| Name of individual signing |
THOMAS G. WESTBROOK, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-03 |
| Name of individual signing |
THOMAS G. WESTBROOK, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A. 401(K) PLAN
|
2010
|
593461010
|
2011-10-14
|
ALLERGY & ASTHMA CENTER OF NORTHWEST FLORIDA, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8504731121
|
| Plan sponsor’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504
|
Plan administrator’s name and address
| Administrator’s EIN |
593461010 |
| Plan administrator’s name |
ALLERGY & ASTHMA CENTER OF NORTHWES |
| Plan administrator’s
address |
6160 NORTH DAVIS HIGHWAY, SUITE 3, PENSACOLA, FL, 32504 |
| Administrator’s telephone number |
8504731121 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-14 |
| Name of individual signing |
THOMAS G. WESTBROOK, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-14 |
| Name of individual signing |
THOMAS G. WESTBROOK, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
