LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2016
|
591413573
|
2017-05-30
|
LIONEL J. GATIEN, D.O., P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PKWY E., STE. A, ORANGE PARK, FL, 32003
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2015
|
591413573
|
2016-07-28
|
LIONEL J. GATIEN, D.O., P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PKWY E., STE. A, ORANGE PARK, FL, 32003
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2014
|
591413573
|
2015-07-22
|
LIONEL J. GATIEN, D.O., P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PKWY E., STE. A, ORANGE PARK, FL, 32003
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
DR. LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2013
|
591413573
|
2014-10-14
|
LIONEL J. GATIEN, D.O., P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PKWY E., STE. A, ORANGE PARK, FL, 32003
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2012
|
591413573
|
2013-10-14
|
LIONEL J. GATIEN, D.O., P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PKWY E., STE. A, ORANGE PARK, FL, 32003
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2011
|
591413573
|
2012-07-18
|
LIONEL J. GATIEN, D.O., P.A.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PRKWY E., STE. A, ORANGE PARK, FL, 32003
|
Plan administrator’s name and address
Administrator’s EIN |
591413573 |
Plan administrator’s name |
LIONEL J. GATIEN, D.O., P.A. |
Plan administrator’s
address |
1689 EAGLE HARBOR PRKWY E., STE. A, ORANGE PARK, FL, 32003 |
Administrator’s telephone number |
9042691366 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-18 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2010
|
591413573
|
2011-06-29
|
LIONEL J. GATIEN, D.O., P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PARKWAY EAST,, SUITE A, ORANGE PARK, FL, 32003
|
Plan administrator’s name and address
Administrator’s EIN |
591413573 |
Plan administrator’s name |
LIONEL J. GATIEN, D.O., P.A. |
Plan administrator’s
address |
1689 EAGLE HARBOR PARKWAY EAST,, SUITE A, ORANGE PARK, FL, 32003 |
Administrator’s telephone number |
9042691366 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-29 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIONEL J. GATIEN, D.O., P.A. PROFIT SHARING PLAN
|
2009
|
591413573
|
2010-07-26
|
LIONEL J. GATIEN, D.O., P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9042691366
|
Plan sponsor’s
address |
1689 EAGLE HARBOR PARKWAY E., STE A, ORANGE PARK, FL, 32003
|
Plan administrator’s name and address
Administrator’s EIN |
591413573 |
Plan administrator’s name |
LIONEL J. GATIEN, D.O., P.A. |
Plan administrator’s
address |
1689 EAGLE HARBOR PARKWAY E., STE A, ORANGE PARK, FL, 32003 |
Administrator’s telephone number |
9042691366 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-26 |
Name of individual signing |
LIONEL GATIEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|