WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2019
|
591726851
|
2020-06-23
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-23 |
Name of individual signing |
RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2018
|
591726851
|
2019-06-09
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2019-06-09 |
Name of individual signing |
RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-09 |
Name of individual signing |
RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2017
|
591726851
|
2018-05-29
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2018-05-29 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-29 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2016
|
591726851
|
2017-05-15
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2017-05-15 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2015
|
591726851
|
2016-04-25
|
WEST FLORIDA ANESTHESIA CONSULTANTS P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2016-04-25 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2014
|
591726851
|
2015-07-15
|
WEST FLORIDA ANESTHESIA CONSULTANTS , P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
8139677480
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-15 |
Name of individual signing |
MIKHAIL RAVVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN & TRUST
|
2013
|
591726851
|
2014-05-01
|
WEST FLORIDA ANESTHESIA CONSULTANTS , P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
9417250347
|
Plan sponsor’s
address |
2010 59TH ST. WEST, SUITE 4650, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2014-05-01 |
Name of individual signing |
EDWARD A DEFREITAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN AND TRUST
|
2012
|
591726851
|
2013-05-21
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
9417983524
|
Plan sponsor’s
address |
2010 59TH ST WEST, STE 5600, BRADENTON, FL, 34209
|
Signature of
Role |
Plan administrator |
Date |
2013-05-21 |
Name of individual signing |
SUZANNE OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
591726851
|
2012-08-21
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
9417983524
|
Plan sponsor’s
address |
2010 59TH ST WEST, STE 5600, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591726851 |
Plan administrator’s name |
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. |
Plan administrator’s
address |
2010 59TH ST WEST, STE 5600, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417983524 |
Signature of
Role |
Plan administrator |
Date |
2012-08-21 |
Name of individual signing |
SUZANNE OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. PROFIT SHARING PLAN AND TRUST
|
2010
|
591726851
|
2011-05-23
|
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
9417983524
|
Plan sponsor’s
address |
2010 59TH ST WEST, STE 5600, BRADENTON, FL, 34209
|
Plan administrator’s name and address
Administrator’s EIN |
591726851 |
Plan administrator’s name |
WEST FLORIDA ANESTHESIA CONSULTANTS, P.A. |
Plan administrator’s
address |
2010 59TH ST WEST, STE 5600, BRADENTON, FL, 34209 |
Administrator’s telephone number |
9417983524 |
Signature of
Role |
Plan administrator |
Date |
2011-05-23 |
Name of individual signing |
SUZANNE OLSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|