|
MAXWELL RENT, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2013
|
592202909
|
2014-07-08
|
MAXWELL RENT, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7278470334
|
| Plan sponsor’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-08 |
| Name of individual signing |
MAXWELL RENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MAXWELL RENT, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2012
|
592202909
|
2013-11-04
|
MAXWELL RENT, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7278470334
|
| Plan sponsor’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652
|
Signature of
| Role |
Plan administrator |
| Date |
2013-11-04 |
| Name of individual signing |
MAXWELL RENT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MAXWELL RENT, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2011
|
592202909
|
2012-12-13
|
MAXWELL RENT, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7278470334
|
| Plan sponsor’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652
|
Plan administrator’s name and address
| Administrator’s EIN |
592202909 |
| Plan administrator’s name |
MAXWELL RENT, M.D., P.A. |
| Plan administrator’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652 |
| Administrator’s telephone number |
7278470334 |
Signature of
| Role |
Plan administrator |
| Date |
2012-12-13 |
| Name of individual signing |
MENDY MCKENDRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MAXWELL RENT, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2010
|
592202909
|
2012-05-15
|
MAXWELL RENT, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7278470334
|
| Plan sponsor’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652
|
Plan administrator’s name and address
| Administrator’s EIN |
592202909 |
| Plan administrator’s name |
MAXWELL RENT, M.D., P.A. |
| Plan administrator’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652 |
| Administrator’s telephone number |
7278470334 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-15 |
| Name of individual signing |
MENDY MCKENDRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MAXWELL RENT, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2009
|
592202909
|
2011-04-08
|
MAXWELL RENT, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7278470334
|
| Plan sponsor’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652
|
Plan administrator’s name and address
| Administrator’s EIN |
592202909 |
| Plan administrator’s name |
MAXWELL RENT, M.D., P.A. |
| Plan administrator’s
address |
5425 WATER STREET, NEW PORT RICHEY, FL, 34652 |
| Administrator’s telephone number |
7278470334 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-08 |
| Name of individual signing |
MENDY MCKENDRY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
