|
TIMOTHY CARL BLAKE, PA 401(K) PROFIT SHARING PLAN
|
2012
|
591924605
|
2013-10-08
|
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
3053735210
|
| Plan sponsor’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130
|
Plan administrator’s name and address
| Administrator’s EIN |
591924605 |
| Plan administrator’s name |
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A. |
| Plan administrator’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130 |
| Administrator’s telephone number |
3053735210 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-08 |
| Name of individual signing |
TIMOTHY CARL BLAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TIMOTHY CARL BLAKE, PA 401(K) PROFIT SHARING PLAN
|
2011
|
591924605
|
2012-09-18
|
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
3053735210
|
| Plan sponsor’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130
|
Plan administrator’s name and address
| Administrator’s EIN |
591924605 |
| Plan administrator’s name |
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A. |
| Plan administrator’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130 |
| Administrator’s telephone number |
3053735210 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-18 |
| Name of individual signing |
TIMOTHY CARL BLAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TIMOTHY CARL BLAKE, PA 401(K) PROFIT SHARING PLAN
|
2010
|
591924605
|
2011-10-17
|
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
3053735210
|
| Plan sponsor’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130
|
Plan administrator’s name and address
| Administrator’s EIN |
591924605 |
| Plan administrator’s name |
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A. |
| Plan administrator’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130 |
| Administrator’s telephone number |
3053735210 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
TIMOTHY CARL BLAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TIMOTHY CARL BLAKE, PA 401(K) PROFIT SHARING PLAN
|
2009
|
591924605
|
2010-09-30
|
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
3053735210
|
| Plan sponsor’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130
|
Plan administrator’s name and address
| Administrator’s EIN |
591924605 |
| Plan administrator’s name |
LAW OFFICES OF TIMOTHY CARL BLAKE, P.A. |
| Plan administrator’s
address |
66 WEST FLAGLER STREET, SUITE 200, MIAMI, FL, 33130 |
| Administrator’s telephone number |
3053735210 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-30 |
| Name of individual signing |
TIMOTHY CARL BLAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
