RICHARD J. EATROFF, M. D. , P. A. PROFIT SHARING PLAN
|
2015
|
592131867
|
2016-02-08
|
RICHARD J. EATROFF, M. D. , P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132406112
|
Plan sponsor’s
address |
16313 VILLARREAL DE AVILA, TAMPA, FL, 336131071
|
Signature of
Role |
Plan administrator |
Date |
2016-02-08 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M. D. , P. A. PROFIT SHARING
|
2014
|
592131867
|
2016-02-05
|
RICHARD J. EATROFF, M. D. , P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132406112
|
Plan sponsor’s
address |
16313 VILLARREAL DE AVILA, TAMPA, FL, 336131071
|
Signature of
Role |
Plan administrator |
Date |
2016-02-05 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M. D. , P. A. PROFIT SHARING PLAN
|
2014
|
592131867
|
2015-08-20
|
RICHARD J. EATROFF, M. D. , P. A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132406112
|
Plan sponsor’s
address |
16313 VILLARREAL DE AVILA, TAMPA, FL, 336131071
|
Signature of
Role |
Plan administrator |
Date |
2015-08-20 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592131867
|
2014-07-07
|
RICHARD J. EATROFF, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8132406112
|
Plan sponsor’s
address |
16313 VILLARREAL DE AVILA, TAMPA, FL, 336131071
|
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592131867
|
2013-10-15
|
RICHARD J. EATROFF, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136855000
|
Plan sponsor’s
address |
510 VONDERBURG DRIVE, SUITE 306, BRANDON, FL, 335116072
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592131867
|
2012-09-24
|
RICHARD J. EATROFF, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136855000
|
Plan sponsor’s
address |
510 VONDERBURG DRIVE, SUITE 306, BRANDON, FL, 335116072
|
Plan administrator’s name and address
Administrator’s EIN |
592131867 |
Plan administrator’s name |
RICHARD J. EATROFF, M.D., P.A. |
Plan administrator’s
address |
510 VONDERBURG DRIVE, SUITE 306, BRANDON, FL, 335116072 |
Administrator’s telephone number |
8136855000 |
Signature of
Role |
Plan administrator |
Date |
2012-09-24 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592131867
|
2011-09-19
|
RICHARD J. EATROFF, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136855000
|
Plan sponsor’s
address |
510 VONDERBURG DRIVE, SUITE 3005, BRANDON, FL, 335115970
|
Plan administrator’s name and address
Administrator’s EIN |
592131867 |
Plan administrator’s name |
RICHARD J. EATROFF, M.D., P.A. |
Plan administrator’s
address |
510 VONDERBURG DRIVE, SUITE 3005, BRANDON, FL, 335115970 |
Administrator’s telephone number |
8136855000 |
Signature of
Role |
Plan administrator |
Date |
2011-09-19 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD J. EATROFF, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592131867
|
2010-09-07
|
RICHARD J. EATROFF, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136855000
|
Plan sponsor’s
address |
510 VONDERBURG DRIVE, SUITE 3005, BRANDON, FL, 335115970
|
Plan administrator’s name and address
Administrator’s EIN |
592131867 |
Plan administrator’s name |
RICHARD J. EATROFF, M.D., P.A. |
Plan administrator’s
address |
510 VONDERBURG DRIVE, SUITE 3005, BRANDON, FL, 335115970 |
Administrator’s telephone number |
8136855000 |
Signature of
Role |
Plan administrator |
Date |
2010-09-07 |
Name of individual signing |
RICHARD J. EATROFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|