RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
592457754
|
2016-08-09
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592457754
|
2015-07-01
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592457754
|
2014-07-30
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592457754
|
2013-08-13
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592457754
|
2012-09-27
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592457754
|
2012-08-14
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2012-08-14 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD I. GOLDBERGER, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592457754
|
2011-02-24
|
RICHARD I. GOLDBERGER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138750074
|
Plan sponsor’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433
|
Plan administrator’s name and address
Administrator’s EIN |
592457754 |
Plan administrator’s name |
RICHARD I. GOLDBERGER, M.D., P.A. |
Plan administrator’s
address |
5106 NORTH ARMENIA AVENUE, SUITE 4, TAMPA, FL, 336031433 |
Administrator’s telephone number |
8138750074 |
Signature of
Role |
Plan administrator |
Date |
2011-02-24 |
Name of individual signing |
RICHARD I. GOLDBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|