HELEN DONATELLI, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2012
|
363425924
|
2013-07-22
|
HELEN DONATELLI, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059355170
|
Plan sponsor’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
HELEN DONATELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELEN DONATELLI, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2011
|
363425924
|
2012-07-24
|
HELEN DONATELLI, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059355170
|
Plan sponsor’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160
|
Plan administrator’s name and address
Administrator’s EIN |
363425924 |
Plan administrator’s name |
HELEN DONATELLI, M.D., S.C. |
Plan administrator’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160 |
Administrator’s telephone number |
3059355170 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
HELEN DONATELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-24 |
Name of individual signing |
HELEN DONATELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELEN DONATELLI, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2010
|
363425924
|
2011-07-24
|
HELEN DONATELLI, M.D., S.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059355170
|
Plan sponsor’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160
|
Plan administrator’s name and address
Administrator’s EIN |
363425924 |
Plan administrator’s name |
HELEN DONATELLI, M.D., S.C. |
Plan administrator’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160 |
Administrator’s telephone number |
3059355170 |
Signature of
Role |
Plan administrator |
Date |
2011-07-24 |
Name of individual signing |
HELEN DONATELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HELEN DONATELLI, M.D., S.C. 401(K) PROFIT SHARING PLAN
|
2009
|
363425924
|
2010-10-08
|
HELEN DONATELLI, M.D., S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059355170
|
Plan sponsor’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160
|
Plan administrator’s name and address
Administrator’s EIN |
363425924 |
Plan administrator’s name |
HELEN DONATELLI, M.D., S.C. |
Plan administrator’s
address |
SUITE 2207, 4000 WEST ISLAND BLVD., AVENTURA, FL, 33160 |
Administrator’s telephone number |
3059355170 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
HELEN DONATELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|