ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
592364957
|
2017-10-05
|
ROMEO S. COLINA, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2017-10-05 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
592364957
|
2016-06-15
|
ROMEO S. COLINA, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
592364957
|
2015-10-09
|
ROMEO S. COLINA, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592364957
|
2015-11-02
|
ROMEO S. COLINA, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2015-10-29 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-29 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592364957
|
2014-10-13
|
ROMEO S. COLINA, M.D., P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592364957
|
2013-10-10
|
ROMEO S. COLINA, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592364957
|
2012-09-25
|
ROMEO S. COLINA, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Plan administrator’s name and address
Administrator’s EIN |
592364957 |
Plan administrator’s name |
ROMEO S. COLINA, M.D., P.A. |
Plan administrator’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950 |
Administrator’s telephone number |
7724652055 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592364957
|
2011-09-27
|
ROMEO S. COLINA, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Plan administrator’s name and address
Administrator’s EIN |
592364957 |
Plan administrator’s name |
ROMEO S. COLINA, M.D., P.A. |
Plan administrator’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950 |
Administrator’s telephone number |
7724652055 |
Signature of
Role |
Plan administrator |
Date |
2011-09-27 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROMEO S. COLINA, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592364957
|
2010-10-04
|
ROMEO S. COLINA, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7724652055
|
Plan sponsor’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950
|
Plan administrator’s name and address
Administrator’s EIN |
592364957 |
Plan administrator’s name |
ROMEO S. COLINA, M.D., P.A. |
Plan administrator’s
address |
1900 NEBRASKA AVENUE, SUITE 8, FORT PIERCE, FL, 34950 |
Administrator’s telephone number |
7724652055 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
ROMEO COLINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|