CLARKSON & COLLINS, D.O. , P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2017
|
591433931
|
2018-10-04
|
CLARKSON & COLLINS, D.O., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274606783
|
Plan sponsor’s
address |
220 BELLEVIEW BLVD, SUITE 208, BELLEAIR, FL, 33756
|
|
CLARKSON & COLLINS, D. O. , P. A. PROFESSIONAL
|
2017
|
591433931
|
2018-11-08
|
CLARKSON & COLLINS, D.O., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274606783
|
Plan sponsor’s
address |
220 BELLEVIEW BLVD, SUITE 208, BELLEAIR, FL, 33756
|
|
CLARKSON & COLLINS, D.O. , P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2016
|
591433931
|
2018-01-16
|
CLARKSON & COLLINS, D.O., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274606783
|
Plan sponsor’s
address |
220 BELLEVIEW BLVD, SUITE 208, BELLEAIR, FL, 33756
|
Signature of
Role |
Plan administrator |
Date |
2018-01-16 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-16 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O. , P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2015
|
591433931
|
2016-10-10
|
CLARKSON & COLLINS, D.O., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933904
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O. , P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2014
|
591433931
|
2015-05-01
|
CLARKSON & COLLINS, D.O., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933404
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Signature of
Role |
Plan administrator |
Date |
2015-05-01 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O., P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2013
|
591433931
|
2014-04-14
|
CLARKSON & COLLINS, D.O., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933904
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Signature of
Role |
Plan administrator |
Date |
2014-04-14 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O., P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2012
|
591433931
|
2013-07-16
|
CLARKSON & COLLINS, D.O., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933904
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O., P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2011
|
591433931
|
2012-06-29
|
CLARKSON & COLLINS, D.O., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933904
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Plan administrator’s name and address
Administrator’s EIN |
591433931 |
Plan administrator’s name |
CLARKSON & COLLINS, D.O., P.A. |
Plan administrator’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639 |
Administrator’s telephone number |
7273933904 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARKSON & COLLINS, D.O., P.A. PROFESSIONAL EMPLOYEES 401(K) PLAN
|
2011
|
591433931
|
2012-10-19
|
CLARKSON & COLLINS, D.O., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273933904
|
Plan sponsor’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639
|
Plan administrator’s name and address
Administrator’s EIN |
591433931 |
Plan administrator’s name |
CLARKSON & COLLINS, D.O., P.A. |
Plan administrator’s
address |
13020 PARK BLVD., SEMINOLE, FL, 337763639 |
Administrator’s telephone number |
7273933904 |
Signature of
Role |
Plan administrator |
Date |
2012-10-19 |
Name of individual signing |
MARIANNE FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|