ALTAMONTE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2020
|
593097802
|
2021-10-07
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-07 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2020
|
593097802
|
2021-06-16
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-16 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2019
|
593097802
|
2020-05-27
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2020-05-27 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-27 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2018
|
593097802
|
2019-06-24
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2019-06-24 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-24 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES 401(K) PROFIT SHARING PLAN
|
2017
|
593097802
|
2018-06-04
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2018-06-04 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-04 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES, PA 401(K) PROFIT SHARING PLAN
|
2014
|
593097802
|
2015-06-30
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET #1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES PA 401(K) PROFIT SHARING PLAN
|
2013
|
593097802
|
2014-07-08
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET, SUITE 1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES PA 401(K) PROFIT SHARING PLAN
|
2012
|
593097802
|
2013-05-30
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET SUITE 1100, ALTAMONTE SPRINGS, FL, 32701
|
Signature of
Role |
Plan administrator |
Date |
2013-05-30 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-30 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALTAMONTE PEDIATRIC ASSOCIATES PA 401(K) PSP
|
2011
|
593097802
|
2012-06-28
|
ALTAMONTE PEDIATRIC ASSOCIATES, P.A
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078316200
|
Plan sponsor’s
address |
475 OSCEOLA STREET, SUITE1100, ALTAMONTE SPRINGS, FL, 32701
|
Plan administrator’s name and address
Administrator’s EIN |
593097802 |
Plan administrator’s name |
ALTAMONTE PEDIATRIC ASSOCIATES, P.A |
Plan administrator’s
address |
475 OSCEOLA STREET, SUITE1100, ALTAMONTE SPRINGS, FL, 32701 |
Administrator’s telephone number |
4078316200 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
PHYLLIS ZISSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-28 |
Name of individual signing |
ALTAMONTE PEDIATRIC ASSOCIATES, P.A |
Valid signature |
Filed with authorized/valid electronic signature |
|
|