LAKELAND SPINE CENTER, INC. PROFIT SHARING PLAN
|
2012
|
593168614
|
2013-10-01
|
LAKELAND SPINE CENTER, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8636440880
|
Plan sponsor’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803
|
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
DANE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND SPINE CENTER, INC. PROFIT SHARING PLAN
|
2011
|
593168614
|
2012-10-12
|
LAKELAND SPINE CENTER, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8636440880
|
Plan sponsor’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593168614 |
Plan administrator’s name |
LAKELAND SPINE CENTER, INC. |
Plan administrator’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636440880 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DANE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND SPINE CENTER, INC. PROFIT SHARING PLAN
|
2010
|
593168614
|
2011-10-14
|
LAKELAND SPINE CENTER, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8636440880
|
Plan sponsor’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593168614 |
Plan administrator’s name |
LAKELAND SPINE CENTER, INC. |
Plan administrator’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636440880 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
DANE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKELAND SPINE CENTER, INC. PROFIT SHARING PLAN
|
2009
|
593168614
|
2010-09-02
|
LAKELAND SPINE CENTER, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
8636440880
|
Plan sponsor’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803
|
Plan administrator’s name and address
Administrator’s EIN |
593168614 |
Plan administrator’s name |
LAKELAND SPINE CENTER, INC. |
Plan administrator’s
address |
3242 S. FLORIDA AVENUE, LAKELAND, FL, 33803 |
Administrator’s telephone number |
8636440880 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
DANE PARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|