LEBOWITZ MEDICAL GROUP, P. A. 401(K) PROFIT
|
2014
|
592681560
|
2015-09-02
|
LEBOWITZ MEDICAL GROUP, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3250 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Signature of
Role |
Plan administrator |
Date |
2015-09-02 |
Name of individual signing |
CHARLES LEBOWITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
592681560
|
2015-09-02
|
LEBOWITZ MEDICAL GROUP, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3250 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Signature of
Role |
Plan administrator |
Date |
2015-09-02 |
Name of individual signing |
CHARLES LEBOWITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
592681560
|
2014-10-10
|
LEBOWITZ MEDICAL GROUP, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3250 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
CHARLES LEBOWITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
592681560
|
2013-08-30
|
LEBOWITZ MEDICAL GROUP, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Signature of
Role |
Plan administrator |
Date |
2013-08-30 |
Name of individual signing |
CHARLES LEBOWITZ, M.D., F.A.C.P. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
592681560
|
2012-10-13
|
LEBOWITZ MEDICAL GROUP, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Plan administrator’s name and address
Administrator’s EIN |
592681560 |
Plan administrator’s name |
LEBOWITZ MEDICAL GROUP, P.A. |
Plan administrator’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752 |
Administrator’s telephone number |
8139781100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
STEPHEN A. BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
592681560
|
2011-10-17
|
LEBOWITZ MEDICAL GROUP, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Plan administrator’s name and address
Administrator’s EIN |
592681560 |
Plan administrator’s name |
LEBOWITZ MEDICAL GROUP, P.A. |
Plan administrator’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752 |
Administrator’s telephone number |
8139781100 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
MENDY MCKENDRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
592681560
|
2011-10-17
|
LEBOWITZ MEDICAL GROUP, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Plan administrator’s name and address
Administrator’s EIN |
592681560 |
Plan administrator’s name |
LEBOWITZ MEDICAL GROUP, P.A. |
Plan administrator’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752 |
Administrator’s telephone number |
8139781100 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
CHARLES LEBOWITZ, M.D., F.A.C.P. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEBOWITZ MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
592681560
|
2010-10-06
|
LEBOWITZ MEDICAL GROUP, P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139781100
|
Plan sponsor’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752
|
Plan administrator’s name and address
Administrator’s EIN |
592681560 |
Plan administrator’s name |
LEBOWITZ MEDICAL GROUP, P.A. |
Plan administrator’s
address |
3242 COVE BEND DRIVE, TAMPA, FL, 336132752 |
Administrator’s telephone number |
8139781100 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
STEPHEN BROOKS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|