R. S. IURCOVICH, M. D. , P. A. PROFIT SHARING PLA
|
2014
|
592259950
|
2015-10-26
|
ROBERTO S. IURCOVICH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4074230681
|
Plan sponsor’s
address |
1811 LUCERNCE TERRACE, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2015-10-26 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. IURCOVICH, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
592259950
|
2015-10-06
|
ROBERTO S. IURCOVICH, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4074230681
|
Plan sponsor’s
address |
1811 LUCERNCE TERRACE, ORLANDO, FL, 32806
|
Signature of
Role |
Plan administrator |
Date |
2015-10-06 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. IURCOVICH, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592259950
|
2014-07-30
|
ROBERTO S. IURCOVICH, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4074230681
|
Plan sponsor’s
address |
1811 LUCERNE TERRACE, ORLANDO, FL, 328062918
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. IURCOVICH, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592259950
|
2013-07-26
|
ROBERTO S. IURCOVICH, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4074230681
|
Plan sponsor’s
address |
1811 LUCERNE TERRACE, ORLANDO, FL, 328062918
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. IURCOVICH, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592259950
|
2012-10-09
|
ROBERTO S. IURCOVICH, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4074230681
|
Plan sponsor’s
address |
1811 LUCERNE TERRACE, ORLANDO, FL, 328062918
|
Plan administrator’s name and address
Administrator’s EIN |
592259950 |
Plan administrator’s name |
ROBERTO S. IURCOVICH, M.D., P.A. |
Plan administrator’s
address |
1811 LUCERNE TERRACE, ORLANDO, FL, 328062918 |
Administrator’s telephone number |
4074230681 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
ROBERTO IURCOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|