BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2019
|
592543802
|
2020-02-28
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 N UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2020-02-28 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-28 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2018
|
592543802
|
2019-05-21
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 N UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2019-05-21 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-21 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2017
|
592543802
|
2018-05-17
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 N UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2018-05-17 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-17 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2016
|
592543802
|
2017-05-19
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-19 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2015
|
592543802
|
2016-05-04
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2016-05-04 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-04 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN TRUST
|
2014
|
592543802
|
2015-04-29
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-29 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2013
|
592543802
|
2014-05-19
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2014-05-19 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-19 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2012
|
592543802
|
2013-04-30
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-30 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE S SELDEN MD PA PROFIT SHARING PLAN & TRUST
|
2011
|
592543802
|
2012-05-21
|
BRUCE S. SELDEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-10
|
Business code |
621111
|
Sponsor’s telephone number |
9547524377
|
Plan sponsor’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
592543802 |
Plan administrator’s name |
BRUCE S. SELDEN, M.D., P.A. |
Plan administrator’s
address |
2855 UNIVERSITY DRIVE SUITE 300, CORAL SPRINGS, FL, 33065 |
Administrator’s telephone number |
9547524377 |
Signature of
Role |
Plan administrator |
Date |
2012-05-21 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-21 |
Name of individual signing |
BRUCE S SELDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|