|
JOSE A BERRIOS, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592709004
|
2013-06-26
|
JOSE A BERRIOS, M.D., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136840949
|
| Plan sponsor’s
address |
P O BOX 105, VALRICO, FL, 33594
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-26 |
| Name of individual signing |
JOSE BERRIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOSE A. BERRIOS, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592709004
|
2012-09-27
|
JOSE A. BERRIOS, M.D., P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136840949
|
| Plan sponsor’s
address |
P O BOX 105, VALRICO, FL, 33594
|
Plan administrator’s name and address
| Administrator’s EIN |
592709004 |
| Plan administrator’s name |
JOSE A. BERRIOS, M.D., P.A. |
| Plan administrator’s
address |
P O BOX 105, VALRICO, FL, 33594 |
| Administrator’s telephone number |
8136840949 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-27 |
| Name of individual signing |
JOSE BERRIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOSE A. BERRIOS, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592709004
|
2011-07-18
|
JOSE A. BERRIOS, M.D., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136840949
|
| Plan sponsor’s
address |
P O BOX 105, VALRICO, FL, 33594
|
Plan administrator’s name and address
| Administrator’s EIN |
592709004 |
| Plan administrator’s name |
JOSE A. BERRIOS, M.D., P.A. |
| Plan administrator’s
address |
P O BOX 105, VALRICO, FL, 33594 |
| Administrator’s telephone number |
8136840949 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-18 |
| Name of individual signing |
JOSE BERRIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JOSE A. BERRIOS, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592709004
|
2010-07-14
|
JOSE A. BERRIOS, M.D., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-08-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8136840949
|
| Plan sponsor’s
address |
P O BOX 105, VALRICO, FL, 33594
|
Plan administrator’s name and address
| Administrator’s EIN |
592709004 |
| Plan administrator’s name |
JOSE A. BERRIOS, M.D., P.A. |
| Plan administrator’s
address |
P O BOX 105, VALRICO, FL, 33594 |
| Administrator’s telephone number |
8136840949 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-14 |
| Name of individual signing |
JOSE BERRIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
