PULMONARY PRACTICE ASSOCIATES, M.D., P.A. DEFINED BENEFIT PLAN
|
2012
|
592696419
|
2013-10-14
|
PULMONARY PRACTICE ASSOCIATES, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3869170333
|
Plan sponsor’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 327638360
|
Plan administrator’s name and address
Administrator’s EIN |
592696419 |
Plan administrator’s name |
PULMONARY PRACTICE ASSOCIATES, M.D., P.A. |
Plan administrator’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763 |
Administrator’s telephone number |
3869170333 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
EDWARD KEVIN SCANLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY PRACTICE ASSOCIATES, M.D., P.A. DEFINED BENEFIT PLAN
|
2012
|
592696419
|
2013-10-14
|
PULMONARY PRACTICE ASSOCIATES, M.D., P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3869170333
|
Plan sponsor’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 327638360
|
Plan administrator’s name and address
Administrator’s EIN |
592696419 |
Plan administrator’s name |
PULMONARY PRACTICE ASSOCIATES, M.D., P.A. |
Plan administrator’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763 |
Administrator’s telephone number |
3869170333 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
EDWARD KEVIN SCANLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY PRACTICE ASSOCIATES, M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
592696419
|
2012-10-12
|
PULMONARY PRACTICE ASSOCIATES, M.D., P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3869170333
|
Plan sponsor’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 327638360
|
Plan administrator’s name and address
Administrator’s EIN |
592696419 |
Plan administrator’s name |
PULMONARY PRACTICE ASSOCIATES, M.D., P.A. |
Plan administrator’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 327638360 |
Administrator’s telephone number |
3869170333 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
EDWARD SCALON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY PRACTICE ASSOCIATES MD PA PROFIT SHARING PLAN
|
2010
|
592696419
|
2011-07-19
|
PULMONARY PRACTICE ASSOCIATES, M D , P A
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3869170333
|
Plan sponsor’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763
|
Plan administrator’s name and address
Administrator’s EIN |
592696419 |
Plan administrator’s name |
PULMONARY PRACTICE ASSOCIATES M D P A |
Plan administrator’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763 |
Administrator’s telephone number |
3869170333 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
EDWARD KEVIN SCANLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY PRACTICE ASSOCIATES MD PA PROFIT SHARING PLAN
|
2009
|
592696419
|
2010-06-24
|
PULMONARY PRACTICE ASSOCIATES, M D , P A
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3869170333
|
Plan sponsor’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763
|
Plan administrator’s name and address
Administrator’s EIN |
592696419 |
Plan administrator’s name |
PULMONARY PRACTICE ASSOCIATES M D P A |
Plan administrator’s
address |
1075 TOWN CENTER DRIVE, ORANGE CITY, FL, 32763 |
Administrator’s telephone number |
3869170333 |
Signature of
Role |
Plan administrator |
Date |
2010-06-24 |
Name of individual signing |
EDWARD KEVIN SCANLON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|