N. B. EDGERTON, JR., MD, PA, PROFIT SHARING PLAN
|
2016
|
591909113
|
2018-01-11
|
N. B. EDGERTON, JR., M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Signature of
Role |
Plan administrator |
Date |
2018-01-11 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
N. B. EDGERTON, JR., MD, PA, PROFIT SHARING PLAN
|
2015
|
591909113
|
2016-10-19
|
N. B. EDGERTON, JR., M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Signature of
Role |
Plan administrator |
Date |
2016-10-19 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
N B EDGERTON JR MD PA PROFIT SHARING PLAN
|
2014
|
591909113
|
2016-01-11
|
N. B. EDGERTON, JR., M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Signature of
Role |
Plan administrator |
Date |
2016-01-11 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
N. B. EDGERTON, JR., MD, PA, PROFIT SHARING PLAN
|
2013
|
591909113
|
2015-01-30
|
N. B. EDGERTON, JR., M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Signature of
Role |
Plan administrator |
Date |
2015-01-30 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
N. B. EDGERTON, JR., MD, PA, PROFIT SHARING PLAN
|
2012
|
591909113
|
2014-01-07
|
N. B. EDGERTON, JR., M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Signature of
Role |
Plan administrator |
Date |
2014-01-07 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
N. B. EDGERTON, JR., MD, PA, PROFIT SHARING PLAN
|
2011
|
591909113
|
2013-01-03
|
N. B. EDGERTON, JR., M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132387468
|
Plan sponsor’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629
|
Plan administrator’s name and address
Administrator’s EIN |
591909113 |
Plan administrator’s name |
N. B. EDGERTON, JR., M.D., P.A. |
Plan administrator’s
address |
4510 BAY TO BAY BOULEVARD, TAMPA, FL, 33629 |
Administrator’s telephone number |
8132387468 |
Signature of
Role |
Plan administrator |
Date |
2013-01-03 |
Name of individual signing |
N.B. EDGERTON, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|