MICHAEL A. SCANNON, M. D. , P. A. PROFIT SHARING PLAN
|
2015
|
592595073
|
2016-08-19
|
MICHAEL A. SCANNON, M. D. , P. A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2016-08-19 |
Name of individual signing |
LINDA LENTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M. D. , P. A. PROFIT SHARING
|
2015
|
592595073
|
2016-11-08
|
MICHAEL A. SCANNON, M. D. , P. A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2016-11-08 |
Name of individual signing |
CELESTE ROBINETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M. D. , P. A. PROFIT SHARING PLAN
|
2015
|
592595073
|
2016-08-19
|
MICHAEL A. SCANNON, M. D. , P. A.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2016-08-19 |
Name of individual signing |
LINDA LENTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M. D. , P. A. PROFIT SHARING PLAN
|
2014
|
592595073
|
2015-07-28
|
MICHAEL A. SCANNON, M. D. , P. A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
MICHAEL A. SCANNON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592595073
|
2014-10-14
|
MICHAEL A. SCANNON, M.D., P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MICHAEL A. SCANNON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592595073
|
2013-10-15
|
MICHAEL A. SCANNON, M.D., P.A.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MICHAEL A. SCANNON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592595073
|
2012-08-30
|
MICHAEL A. SCANNON, M.D., P.A.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Plan administrator’s name and address
Administrator’s EIN |
592595073 |
Plan administrator’s name |
MICHAEL A. SCANNON, M.D., P.A. |
Plan administrator’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451 |
Administrator’s telephone number |
8138753202 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
MICHAEL A. SCANNON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. SCANNON, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592595073
|
2011-10-17
|
MICHAEL A. SCANNON, M.D., P.A.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753202
|
Plan sponsor’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451
|
Plan administrator’s name and address
Administrator’s EIN |
592595073 |
Plan administrator’s name |
MICHAEL A. SCANNON, M.D., P.A. |
Plan administrator’s
address |
4200 N. ARMENIA AVENUE, SUITE 1, TAMPA, FL, 336076451 |
Administrator’s telephone number |
8138753202 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
MICHAEL A. SCANNON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|