|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. PROFIT SHARING PLAN & TRUST
|
2011
|
593121610
|
2012-10-11
|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8632944404
|
| Plan sponsor’s mailing address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
| Plan sponsor’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
| Administrator’s EIN |
593121610 |
| Plan administrator’s name |
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. |
| Plan administrator’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880 |
| Administrator’s telephone number |
8632944404 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-21 |
| Name of individual signing |
ROBIN BAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. PROFIT SHARING PLAN & TRUST
|
2010
|
593121610
|
2011-10-07
|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8632994404
|
| Plan sponsor’s mailing address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
| Plan sponsor’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
| Administrator’s EIN |
593121610 |
| Plan administrator’s name |
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. |
| Plan administrator’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880 |
| Administrator’s telephone number |
8632994404 |
Number of participants as of the end of the plan year
| Active participants |
12 |
| Retired or separated participants receiving
benefits |
3 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
15 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
ROBIN BAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. PROFIT SHARING PLAN & TRUST
|
2009
|
593121610
|
2010-10-13
|
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8632944404
|
| Plan sponsor’s mailing address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
| Plan sponsor’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880
|
Plan administrator’s name and address
| Administrator’s EIN |
593121610 |
| Plan administrator’s name |
INTERNAL MEDICINE GROUP OF WINTER HAVEN, P.A. |
| Plan administrator’s
address |
400 AVENUE K, SE, SUITE 11, WINTER HAVEN, FL, 33880 |
| Administrator’s telephone number |
8632944404 |
Number of participants as of the end of the plan year
| Active participants |
13 |
| Retired or separated participants receiving
benefits |
3 |
| Number of
participants
with
account balances as of the end of the plan year |
16 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-12 |
| Name of individual signing |
ROBIN BAKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
