|
EVERETT H. ALSBROOK, JR., M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592297070
|
2013-08-09
|
EVERETT H. ALSBROOK, JR., M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2392618007
|
| Plan sponsor’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-08 |
| Name of individual signing |
EVERETT ALSBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERETT H. ALSBROOK, JR., M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592297070
|
2013-01-15
|
EVERETT H. ALSBROOK, JR., M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2392618007
|
| Plan sponsor’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102
|
Plan administrator’s name and address
| Administrator’s EIN |
592297070 |
| Plan administrator’s name |
EVERETT H. ALSBROOK, JR., M.D., P.A. |
| Plan administrator’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102 |
| Administrator’s telephone number |
2392618007 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-14 |
| Name of individual signing |
EVERETT ALSBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERETT H. ALSBROOK, JR., M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592297070
|
2011-10-21
|
EVERETT H. ALSBROOK, JR., M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2392618007
|
| Plan sponsor’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102
|
Plan administrator’s name and address
| Administrator’s EIN |
592297070 |
| Plan administrator’s name |
EVERETT H. ALSBROOK, JR., M.D., P.A. |
| Plan administrator’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102 |
| Administrator’s telephone number |
2392618007 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-20 |
| Name of individual signing |
EVERETT ALSBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERETT H. ALSBROOK, JR., M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592297070
|
2010-11-16
|
EVERETT H. ALSBROOK, JR., M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2392618007
|
| Plan sponsor’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102
|
Plan administrator’s name and address
| Administrator’s EIN |
592297070 |
| Plan administrator’s name |
EVERETT H. ALSBROOK, JR., M.D., P.A. |
| Plan administrator’s
address |
680 SECOND AVENUE NORTH, SUITE 201, NAPLES, FL, 34102 |
| Administrator’s telephone number |
2392618007 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-15 |
| Name of individual signing |
EVERETT ALSBROOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
