CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2022
|
650903800
|
2023-02-27
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2023-02-27 |
Name of individual signing |
TERENCE P. CONNELLY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2021
|
650903800
|
2022-05-10
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2022-05-10 |
Name of individual signing |
TERENCE P. CONNELLY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2020
|
650903800
|
2021-10-15
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
TERENCE P. CONNELLY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2019
|
650903800
|
2020-09-16
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357076
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2020-09-16 |
Name of individual signing |
JOSEPH MAZZAFERRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2018
|
650903800
|
2019-10-01
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357076
|
Plan sponsor’s
address |
1504 KINGS HIGHWAY, SUITE 300, PORT CHARLOTTE, FL, 33980
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JOSEPH MAZZAFERRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2017
|
650903800
|
2018-10-15
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
SERGIO COSSU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2016
|
650903800
|
2018-01-30
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2018-01-30 |
Name of individual signing |
SERGIO COSSU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2015
|
650903800
|
2016-10-17
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
SERGIO COSSU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2014
|
650903800
|
2015-10-15
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
SERGIO COSSU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A. 401(K)PROFIT SHARING PLAN & TRUST
|
2013
|
650903800
|
2014-10-15
|
CHARLOTTE HEART & VASCULAR INSTITUTE, P.A.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412357039
|
Plan sponsor’s
address |
3340 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
TERENCE P. CONNELLY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|