PULMONARY ASSOCIATES OF BRANDON, P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
592508823
|
2024-07-22
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DR #102, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
DONNA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. POWELL, M. D. & DANIEL G. LORCH, M. D. , P. A. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2016
|
592508823
|
2018-01-18
|
PULMONARY ASSOCIATES OF BRANDON, P. A.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Signature of
Role |
Plan administrator |
Date |
2018-01-18 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-18 |
Name of individual signing |
DANIEL G LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. POWELL, M. D. & DANIEL G. LORCH, M. D. , P. A. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2015
|
592508823
|
2016-10-13
|
PULMONARY ASSOCIATES OF BRANDON, P. A.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD S. POWELL, M. D. & DANIEL G. LORCH, M. D. , P. A. 401(K) PROFIT-SHARING PLAN AND TRUST
|
2014
|
592508823
|
2015-09-29
|
PULMONARY ASSOCIATES OF BRANDON, P. A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Signature of
Role |
Plan administrator |
Date |
2015-09-29 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. POWELL, M.D. & D.G. LORCH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
592508823
|
2014-06-16
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Signature of
Role |
Plan administrator |
Date |
2014-06-16 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. POWELL, M.D. & D.G. LORCH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
592508823
|
2013-09-16
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Signature of
Role |
Plan administrator |
Date |
2013-09-16 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. POWELL, M.D. & D.G. LORCH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
592508823
|
2012-09-25
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Plan administrator’s name and address
Administrator’s EIN |
592508823 |
Plan administrator’s name |
PULMONARY ASSOCIATES OF BRANDON, P.A. |
Plan administrator’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925 |
Administrator’s telephone number |
8136814413 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. POWELL, M.D. & D.G. LORCH, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
592508823
|
2011-09-02
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Plan administrator’s name and address
Administrator’s EIN |
592508823 |
Plan administrator’s name |
PULMONARY ASSOCIATES OF BRANDON, P.A. |
Plan administrator’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925 |
Administrator’s telephone number |
8136814413 |
Signature of
Role |
Plan administrator |
Date |
2011-09-02 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
R.S. POWELL, M.D. & D.G. LORCH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592508823
|
2010-09-16
|
PULMONARY ASSOCIATES OF BRANDON, P.A.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136814413
|
Plan sponsor’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925
|
Plan administrator’s name and address
Administrator’s EIN |
592508823 |
Plan administrator’s name |
PULMONARY ASSOCIATES OF BRANDON, P.A. |
Plan administrator’s
address |
910 OAKFIELD DRIVE, SUITE 102, BRANDON, FL, 335114925 |
Administrator’s telephone number |
8136814413 |
Signature of
Role |
Plan administrator |
Date |
2010-09-16 |
Name of individual signing |
DANIEL G. LORCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|