OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2015
|
650860978
|
2016-07-25
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Signature of
Role |
Plan administrator |
Date |
2016-06-21 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2014
|
650860978
|
2015-09-29
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Signature of
Role |
Plan administrator |
Date |
2015-09-25 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2013
|
650860978
|
2014-10-15
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2012
|
650860978
|
2013-07-25
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
650860978
|
2012-10-16
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911 |
Administrator’s telephone number |
2393039100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
650860978
|
2012-10-16
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911 |
Administrator’s telephone number |
2393039100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
MICKEY JOMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
650860978
|
2012-10-15
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911 |
Administrator’s telephone number |
2393039100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
650860978
|
2012-10-08
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911 |
Administrator’s telephone number |
2393039100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC PROFIT SHARING PLAN & TRUST
|
2010
|
650860978
|
2010-10-07
|
OPTIMUM REHABILITATION SPECIALISTS
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s mailing address |
P.O. BOX 1199, LEHIGH ACRES, FL, 33970
|
Plan sponsor’s
address |
P.O. BOX 1199, LEHIGH ACRES, FL, 33970
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 1199, LEHIGH ACRES, FL, 33970 |
Administrator’s telephone number |
2393039100 |
Number of participants as of the end of the plan year
Active participants |
12 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM REHABILITATION SPECIALISTS, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
650860978
|
2011-08-08
|
OPTIMUM REHABILITATION SPECIALISTS INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2393039100
|
Plan sponsor’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911
|
Plan administrator’s name and address
Administrator’s EIN |
650860978 |
Plan administrator’s name |
OPTIMUM REHABILITATION SPECIALISTS |
Plan administrator’s
address |
P.O. BOX 6555, FT. MYERS, FL, 33911 |
Administrator’s telephone number |
2393039100 |
Signature of
Role |
Plan administrator |
Date |
2011-07-31 |
Name of individual signing |
MICKEY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|