KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2016
|
591871350
|
2017-10-16
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2015
|
591871350
|
2016-10-13
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2014
|
591871350
|
2015-10-08
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2013
|
591871350
|
2014-10-13
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2012
|
591871350
|
2013-10-14
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2011
|
591871350
|
2012-10-16
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Plan administrator’s name and address
Administrator’s EIN |
591871350 |
Plan administrator’s name |
KEY WEST UROLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040 |
Administrator’s telephone number |
3052945576 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2010
|
591871350
|
2011-10-12
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Plan administrator’s name and address
Administrator’s EIN |
591871350 |
Plan administrator’s name |
KEY WEST UROLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040 |
Administrator’s telephone number |
3052945576 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KEY WEST UROLOGY ASSOCIATES, P.A. RETIREMENT PLAN
|
2009
|
591871350
|
2010-10-01
|
KEY WEST UROLOGY ASSOCIATES, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052945576
|
Plan sponsor’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040
|
Plan administrator’s name and address
Administrator’s EIN |
591871350 |
Plan administrator’s name |
KEY WEST UROLOGY ASSOCIATES, P.A. |
Plan administrator’s
address |
1111 12TH STREET, SUITE 108, KEY WEST, FL, 33040 |
Administrator’s telephone number |
3052945576 |
Signature of
Role |
Plan administrator |
Date |
2010-10-01 |
Name of individual signing |
EDUARDO GONZALEZ-BLANCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|