ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
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2019
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593519803
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2020-06-18
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
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1
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File |
View Page
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Three-digit plan number (PN) |
001
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Effective date of plan |
1999-01-01
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Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2018
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593519803
|
2019-10-29
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
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2
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File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2019-10-29 |
Name of individual signing |
MARK D. HERBST, M.D., PHD |
Valid signature |
Filed with authorized/valid electronic signature |
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2018
|
593519803
|
2019-10-22
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2019-10-22 |
Name of individual signing |
MARK D. HERBST, M.D., PHD |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2017
|
593519803
|
2018-06-25
|
ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
MARK D. HERBST, M.D., PHD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2016
|
593519803
|
2017-11-21
|
ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
|
ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2015
|
593519803
|
2016-10-06
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
MARK D. HERBST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2014
|
593519803
|
2015-10-14
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
MARK D. HERBST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2013
|
593519803
|
2014-10-07
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
MARK D. HERBST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING AND 401(K) PLAN
|
2012
|
593519803
|
2013-10-10
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
MARK D. HERBST, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC. PROFIT SHARING PLAN
|
2010
|
593519803
|
2011-05-15
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ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273275006
|
Plan sponsor’s mailing address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Plan sponsor’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238
|
Plan administrator’s name and address
Administrator’s EIN |
593519803 |
Plan administrator’s name |
ST. PETERSBURG INDEPENDENT DIAGNOSTIC RADIOLOGY, IN |
Plan administrator’s
address |
3900 CENTRAL AVENUE, ST. PETERSBURG, FL, 337111238 |
Administrator’s telephone number |
7273275006 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-05-13 |
Name of individual signing |
MARK D. HERBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-13 |
Name of individual signing |
MARK D. HERBST |
Valid signature |
Filed with authorized/valid electronic signature |
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