|
DELROWE EYE CARE, P.A. CASH BALANCE PENSION PLAN AND TRUST
|
2011
|
592450097
|
2012-10-11
|
DELROWE EYE CARE, P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7723372020
|
| Plan sponsor’s
address |
1715 S.E. TIFFANY AVENUE, PORT ST. LUCIE, FL, 349527520
|
Plan administrator’s name and address
| Administrator’s EIN |
592450097 |
| Plan administrator’s name |
DELROWE EYE CARE, P.A. |
| Plan administrator’s
address |
1715 S.E. TIFFANY AVENUE, PORT ST. LUCIE, FL, 349527520 |
| Administrator’s telephone number |
7723372020 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-11 |
| Name of individual signing |
DANIEL J. DELROWE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DELROWE EYE CARE, P.A. CASH BALANCE PENSION PLAN AND TRUST
|
2010
|
592450097
|
2011-07-29
|
DELROWE EYE CARE, P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7723372020
|
| Plan sponsor’s
address |
1715 S.E. TIFFANY AVENUE, PORT ST. LUCIE, FL, 349527520
|
Plan administrator’s name and address
| Administrator’s EIN |
592450097 |
| Plan administrator’s name |
DELROWE EYE CARE, P.A. |
| Plan administrator’s
address |
1715 S.E. TIFFANY AVENUE, PORT ST. LUCIE, FL, 349527520 |
| Administrator’s telephone number |
7723372020 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
DANIEL J. DELROWE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
