JOHN G. CAREY, M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
592597295
|
2012-12-11
|
JOHN G. CAREY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216311550
|
Plan sponsor’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724
|
Plan administrator’s name and address
Administrator’s EIN |
592597295 |
Plan administrator’s name |
JOHN G. CAREY, M.D., P.A. |
Plan administrator’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724 |
Administrator’s telephone number |
3216311550 |
Signature of
Role |
Plan administrator |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN G. CAREY, M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
592597295
|
2012-12-11
|
JOHN G. CAREY, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216311550
|
Plan sponsor’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724
|
Plan administrator’s name and address
Administrator’s EIN |
592597295 |
Plan administrator’s name |
JOHN G. CAREY, M.D., P.A. |
Plan administrator’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724 |
Administrator’s telephone number |
3216311550 |
Signature of
Role |
Plan administrator |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN G. CAREY, M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
592597295
|
2012-12-11
|
JOHN G. CAREY, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216311550
|
Plan sponsor’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724
|
Plan administrator’s name and address
Administrator’s EIN |
592597295 |
Plan administrator’s name |
JOHN G. CAREY, M.D., P.A. |
Plan administrator’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724 |
Administrator’s telephone number |
3216311550 |
Signature of
Role |
Plan administrator |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN G. CAREY, M.D., P.A. DEFINED BENEFIT PLAN
|
2010
|
592597295
|
2012-12-11
|
JOHN G. CAREY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3216311550
|
Plan sponsor’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724
|
Plan administrator’s name and address
Administrator’s EIN |
592597295 |
Plan administrator’s name |
JOHN G. CAREY, M.D., P.A. |
Plan administrator’s
address |
3490 NORTH U.S. HIGHWAY 1, COCOA, FL, 329268724 |
Administrator’s telephone number |
3216311550 |
Signature of
Role |
Plan administrator |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-11 |
Name of individual signing |
SANDRA R. TURNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|