ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2017
|
592575414
|
2018-10-26
|
ALLEN H. BEZNER, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2016
|
592575414
|
2018-04-11
|
ALLEN H. BEZNER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2015
|
592575414
|
2017-03-06
|
ALLEN H. BEZNER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2014
|
592575414
|
2016-03-14
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2013
|
592575414
|
2014-11-19
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2012
|
592575414
|
2013-11-11
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462
|
Signature of
Role |
Plan administrator |
Date |
2013-11-11 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-11 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2011
|
592575414
|
2012-12-12
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462
|
Plan administrator’s name and address
Administrator’s EIN |
592575414 |
Plan administrator’s name |
ALLEN H. BEZNER, M.D., P.A. |
Plan administrator’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462 |
Administrator’s telephone number |
5614391234 |
Signature of
Role |
Plan administrator |
Date |
2012-12-12 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-12 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLEN H. BEZNER, M.D., P.A. 401(K) PLAN AND TRUST
|
2011
|
592575414
|
2012-12-12
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462
|
Plan administrator’s name and address
Administrator’s EIN |
592575414 |
Plan administrator’s name |
ALLEN H. BEZNER, M.D., P.A. |
Plan administrator’s
address |
116 JFK DRIVE, ATLANTIS, FL, 33462 |
Administrator’s telephone number |
5614391234 |
Signature of
Role |
Plan administrator |
Date |
2012-12-12 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-12 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLEN H. BEZNER, MD, PA 401(K) PLAN AND TRUST
|
2010
|
592575414
|
2011-12-21
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462
|
Plan administrator’s name and address
Administrator’s EIN |
592575414 |
Plan administrator’s name |
ALLEN H. BEZNER, M.D., P.A. |
Plan administrator’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462 |
Administrator’s telephone number |
5614391234 |
Signature of
Role |
Plan administrator |
Date |
2011-12-21 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-21 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLEN H. BEZNER, MD, PA 401K PLAN AND TRUST
|
2009
|
592575414
|
2010-10-19
|
ALLEN H. BEZNER, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614391234
|
Plan sponsor’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462
|
Plan administrator’s name and address
Administrator’s EIN |
592575414 |
Plan administrator’s name |
ALLEN H. BEZNER, M.D., P.A. |
Plan administrator’s
address |
116 JFK CIRCLE, ATLANTIS, FL, 33462 |
Administrator’s telephone number |
5614391234 |
Signature of
Role |
Plan administrator |
Date |
2010-10-19 |
Name of individual signing |
ALLEN BEZNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|