COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
593484798
|
2014-12-22
|
COLON & RECTAL SPECIALISTS, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
133 FIG TREE RUN, LONGWOOD, FL, 32750
|
Signature of
Role |
Plan administrator |
Date |
2014-12-20 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-20 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
593484798
|
2014-05-01
|
COLON & RECTAL SPECIALISTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2014-05-01 |
Name of individual signing |
CRAIG RUSKIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-01 |
Name of individual signing |
CRAIG RUSKIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
593484798
|
2013-05-10
|
COLON & RECTAL SPECIALISTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2013-05-10 |
Name of individual signing |
CRAIG RUSKIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-10 |
Name of individual signing |
CRAIG RUSKIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
593484798
|
2012-10-05
|
COLON & RECTAL SPECIALISTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701
|
Plan administrator’s name and address
Administrator’s EIN |
593484798 |
Plan administrator’s name |
COLON & RECTAL SPECIALISTS, P.A. |
Plan administrator’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701 |
Administrator’s telephone number |
4073319595 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
593484798
|
2011-09-26
|
COLON & RECTAL SPECIALISTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701
|
Plan administrator’s name and address
Administrator’s EIN |
593484798 |
Plan administrator’s name |
COLON & RECTAL SPECIALISTS, P.A. |
Plan administrator’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701 |
Administrator’s telephone number |
4073319595 |
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-26 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLON & RECTAL SPECIALISTS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
593484798
|
2010-09-22
|
COLON & RECTAL SPECIALISTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073319595
|
Plan sponsor’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701
|
Plan administrator’s name and address
Administrator’s EIN |
593484798 |
Plan administrator’s name |
COLON & RECTAL SPECIALISTS, P.A. |
Plan administrator’s
address |
661 EAST ALTAMONTE DRIVE, SUITE 120, ALTAMONTE SPRINGS, FL, 32701 |
Administrator’s telephone number |
4073319595 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-22 |
Name of individual signing |
CRAIG RUSKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|