|
ANTHONY T. SCHIUMA, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
591846401
|
2012-05-17
|
ANTHONY T. SCHIUMA, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1980-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9545614300
|
| Plan sponsor’s mailing address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
| Plan sponsor’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
Plan administrator’s name and address
| Administrator’s EIN |
591846401 |
| Plan administrator’s name |
ANTHONY T. SCHIUMA, M.D., P.A. |
| Plan administrator’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814 |
| Administrator’s telephone number |
9545614300 |
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 |
2012-05-21 |
| Name of individual signing |
ANTHONY T. SCHIUMA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTHONY T. SCHIUMA, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
591846401
|
2011-06-23
|
ANTHONY T. SCHIUMA, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1980-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9545614300
|
| Plan sponsor’s mailing address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
| Plan sponsor’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
Plan administrator’s name and address
| Administrator’s EIN |
591846401 |
| Plan administrator’s name |
ANTHONY T. SCHIUMA, M.D., P.A. |
| Plan administrator’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814 |
| Administrator’s telephone number |
9545614300 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
5 |
| 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 |
2011-06-23 |
| Name of individual signing |
ANTHONY T. SCHIUMA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTHONY T. SCHIUMA, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
591846401
|
2010-06-11
|
ANTHONY T. SCHIUMA, M.D., P.A.
|
5
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1980-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9545614300
|
| Plan sponsor’s mailing address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
| Plan sponsor’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
Plan administrator’s name and address
| Administrator’s EIN |
591846401 |
| Plan administrator’s name |
ANTHONY T. SCHIUMA, M.D., P.A. |
| Plan administrator’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814 |
| Administrator’s telephone number |
9545614300 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
5 |
| 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 |
2010-07-15 |
| Name of individual signing |
ANTHONY SCHIUMA MD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-15 |
| Name of individual signing |
ANTHONY SCHIUMA MD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ANTHONY T. SCHIUMA, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
591846401
|
2010-06-16
|
ANTHONY T. SCHIUMA, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1980-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9545614300
|
| Plan sponsor’s mailing address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
| Plan sponsor’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814
|
Plan administrator’s name and address
| Administrator’s EIN |
591846401 |
| Plan administrator’s name |
ANTHONY T. SCHIUMA, M.D., P.A. |
| Plan administrator’s
address |
2830 EAST OAKLAND PARK BOULEVARD, FORT LAUDERDALE, FL, 333061814 |
| Administrator’s telephone number |
9545614300 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| 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 |
5 |
| 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 |
2010-06-15 |
| Name of individual signing |
ANTHONY T. SCHIUMA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
