CENTRAL FLORIDA PAIN MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
593548123
|
2024-10-14
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
210 1ST STREET NORTH, WINTER HAVEN, FL, 33881
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
ANA D LIPSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
593548123
|
2023-10-16
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
210 1ST STREET NORTH, WINTER HAVEN, FL, 33881
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
ANA D LIPSON, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
593548123
|
2023-01-31
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
210 1ST STREET NORTH, WINTER HAVEN, FL, 33881
|
Signature of
Role |
Plan administrator |
Date |
2023-01-31 |
Name of individual signing |
ANA D LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2019
|
593548123
|
2020-10-15
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2018
|
593548123
|
2019-10-15
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2017
|
593548123
|
2018-10-15
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2016
|
593548123
|
2017-10-09
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2015
|
593548123
|
2016-07-29
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2014
|
593548123
|
2015-07-28
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
ANA D. LIPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC. PROFIT SHARING PLAN
|
2013
|
593548123
|
2014-10-15
|
CENTRAL FLORIDA PAIN MANAGEMENT, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632934800
|
Plan sponsor’s
address |
4101 1ST STREET SOUTH, WINTER HAVEN, FL, 33880
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
ANA D. LIPSON, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|