MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
590965172
|
2016-05-24
|
MARTIN B. GROSSMAN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
590965172
|
2015-04-09
|
MARTIN B. GROSSMAN, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2015-04-09 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
590965172
|
2014-10-09
|
MARTIN B. GROSSMAN, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
590965172
|
2013-10-15
|
MARTIN B. GROSSMAN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH COURT, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
590965172
|
2012-10-11
|
MARTIN B. GROSSMAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH COURT, AVENTURA, FL, 33180
|
Plan administrator’s name and address
Administrator’s EIN |
590965172 |
Plan administrator’s name |
MARTIN B. GROSSMAN, M.D., P.A. |
Plan administrator’s
address |
21097 NE 27TH COURT, AVENTURA, FL, 33180 |
Administrator’s telephone number |
3059362565 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
590965172
|
2011-10-13
|
MARTIN B. GROSSMAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH CT, 210, AVENTURA, FL, 331801202
|
Plan administrator’s name and address
Administrator’s EIN |
590965172 |
Plan administrator’s name |
MARTIN B. GROSSMAN, M.D., P.A. |
Plan administrator’s
address |
21097 NE 27TH CT, 210, AVENTURA, FL, 331801202 |
Administrator’s telephone number |
3059362565 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
590965172
|
2010-09-27
|
MARTIN B. GROSSMAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1963-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059362565
|
Plan sponsor’s
address |
21097 NE 27TH CT, 210, AVENTURA, FL, 331801202
|
Plan administrator’s name and address
Administrator’s EIN |
590965172 |
Plan administrator’s name |
MARTIN B. GROSSMAN, M.D., P.A. |
Plan administrator’s
address |
21097 NE 27TH CT, 210, AVENTURA, FL, 331801202 |
Administrator’s telephone number |
3059362565 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
MARTIN B. GROSSMAN, M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
|