|
THOMAS FEISTMANN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592096145
|
2012-07-06
|
THOMAS FEISTMANN, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5616559777
|
| Plan sponsor’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417
|
Plan administrator’s name and address
| Administrator’s EIN |
592096145 |
| Plan administrator’s name |
THOMAS FEISTMANN, M.D., P.A. |
| Plan administrator’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417 |
| Administrator’s telephone number |
5616559777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-06 |
| Name of individual signing |
THOMAS FEISTMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-06 |
| Name of individual signing |
THOMAS FEISTMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THOMAS FEISTMANN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592096145
|
2012-02-01
|
THOMAS FEISTMANN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5616559777
|
| Plan sponsor’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417
|
Plan administrator’s name and address
| Administrator’s EIN |
592096145 |
| Plan administrator’s name |
THOMAS FEISTMANN, M.D., P.A. |
| Plan administrator’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417 |
| Administrator’s telephone number |
5616559777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-02-01 |
| Name of individual signing |
THOMAS FEISTMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-02-01 |
| Name of individual signing |
THOMAS FEISTMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THOMAS FEISTMANN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592096145
|
2011-01-27
|
THOMAS FEISTMANN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-05-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5616559777
|
| Plan sponsor’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417
|
Plan administrator’s name and address
| Administrator’s EIN |
592096145 |
| Plan administrator’s name |
THOMAS FEISTMANN, M.D., P.A. |
| Plan administrator’s
address |
5405 OKEECHOBEE BLVD., SUITE 306, WEST PALM BEACH, FL, 33417 |
| Administrator’s telephone number |
5616559777 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-27 |
| Name of individual signing |
THOMAS FEISTMANN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
