|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2016
|
591855475
|
2018-07-17
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
EMPLOYEES OF HARVEY A. SHUB, MD PA, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
|
|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2015
|
591855475
|
2017-07-14
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
EMPLOYEES OF HARVEY A. SHUB, MD PA, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
|
|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2013
|
591855475
|
2015-04-30
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
EMPLOYEES OF HARVEY A. SHUB, MD PA, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
|
|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2011
|
591855475
|
2013-05-06
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Plan administrator’s name and address
| Administrator’s EIN |
591855475 |
| Plan administrator’s name |
HARVEY A. SHUB M.D. P.A. |
| Plan administrator’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771 |
| Administrator’s telephone number |
4078940181 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-02 |
| Name of individual signing |
HARVEY SHUB |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2010
|
591855475
|
2012-07-13
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Plan administrator’s name and address
| Administrator’s EIN |
591855475 |
| Plan administrator’s name |
HARVEY A. SHUB M.D. P.A. |
| Plan administrator’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771 |
| Administrator’s telephone number |
4078940181 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-13 |
| Name of individual signing |
HARVEY SHUB |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROFIT SHARING PLAN & TRUST FOR EMPLOYEES OF HARVEY A. SHUB, MD, PA
|
2009
|
591855475
|
2011-05-17
|
HARVEY A. SHUB M.D. P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4078940181
|
| Plan sponsor’s mailing address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
| Plan sponsor’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771
|
Plan administrator’s name and address
| Administrator’s EIN |
591855475 |
| Plan administrator’s name |
HARVEY A. SHUB M.D. P.A. |
| Plan administrator’s
address |
5252 VISTA CLUB RUN, SANFORD, FL, 32771 |
| Administrator’s telephone number |
4078940181 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-27 |
| Name of individual signing |
HARVEY SHUB |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
