KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN
|
2011
|
591707209
|
2012-08-10
|
KENNETH A. ROSEN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052796013
|
Plan sponsor’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
|
Plan administrator’s name and address
Administrator’s EIN |
591707209 |
Plan administrator’s name |
KENNETH A. ROSEN, M.D., P.A. |
Plan administrator’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176 |
Administrator’s telephone number |
3052796013 |
Signature of
Role |
Plan administrator |
Date |
2012-08-10 |
Name of individual signing |
KENNETH ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN
|
2011
|
591707209
|
2012-08-10
|
KENNETH A. ROSEN, M.D., P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052796013
|
Plan sponsor’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
|
Plan administrator’s name and address
Administrator’s EIN |
591707209 |
Plan administrator’s name |
KENNETH A. ROSEN, M.D., P.A. |
Plan administrator’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176 |
Administrator’s telephone number |
3052796013 |
Signature of
Role |
Plan administrator |
Date |
2012-08-10 |
Name of individual signing |
KENNETH ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN
|
2010
|
591707209
|
2011-09-21
|
KENNETH A. ROSEN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052796013
|
Plan sponsor’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
|
Plan administrator’s name and address
Administrator’s EIN |
591707209 |
Plan administrator’s name |
KENNETH A. ROSEN, M.D., P.A. |
Plan administrator’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176 |
Administrator’s telephone number |
3052796013 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
KENNETH A ROSEN MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH A. ROSEN, M.D., PROFIT SHARING PLAN
|
2009
|
591707209
|
2010-09-29
|
KENNETH A. ROSEN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052796013
|
Plan sponsor’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176
|
Plan administrator’s name and address
Administrator’s EIN |
591707209 |
Plan administrator’s name |
KENNETH A. ROSEN, M.D., P.A. |
Plan administrator’s
address |
9000 S.W. 87TH COURT, SUITE 202, MIAMI, FL, 33176 |
Administrator’s telephone number |
3052796013 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
KENNETH ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|