|
RICHARD E. TANNENBAUM, M.D., P.A. EMPLOYEES' PENSION PLAN
|
2012
|
591901836
|
2013-08-22
|
RICHARD E. TANNENBAUM, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052531404
|
| Plan sponsor’s
address |
13320 SW 104 COURT, MIAMI, FL, 33176
|
Plan administrator’s name and address
| Administrator’s EIN |
591901836 |
| Plan administrator’s name |
RICHARD E. TANNENBAUM, M.D., P.A. |
| Administrator’s telephone number |
3052531404 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-22 |
| Name of individual signing |
RICHARD TANNENBAUM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-08-18 |
| Name of individual signing |
RICHARD TANNENBAUM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RICHARD E. TANNENBAUM, M.D., P.A. EMPLOYEES' PENSION PLAN
|
2011
|
591901836
|
2012-08-26
|
RICHARD E. TANNENBAUM, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052719811
|
| Plan sponsor’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591901836 |
| Plan administrator’s name |
RICHARD E. TANNENBAUM, M.D., P.A. |
| Plan administrator’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052719811 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-26 |
| Name of individual signing |
RICHARD TANNENBAUM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RICHARD E. TANNENBAUM, M.D., P.A. EMPLOYEES' PENSION PLAN
|
2010
|
591901836
|
2011-08-30
|
RICHARD E. TANNENBAUM, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052719811
|
| Plan sponsor’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591901836 |
| Plan administrator’s name |
RICHARD E. TANNENBAUM, M.D., P.A. |
| Plan administrator’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052719811 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-29 |
| Name of individual signing |
RICHARD TANNENBAUM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RICHARD E. TANNENBAUM, M.D., P.A. EMPLOYEES' PENSION PLAN
|
2009
|
591901836
|
2010-10-08
|
RICHARD E. TANNENBAUM, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-06-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052719811
|
| Plan sponsor’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591901836 |
| Plan administrator’s name |
RICHARD E. TANNENBAUM, M.D., P.A. |
| Plan administrator’s
address |
8500 SW 92 STREET, SUITE 208, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052719811 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-08 |
| Name of individual signing |
RICHARD TANNENBAUM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
