ANTHONY J. ISELBORN, D.C., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
592718880
|
2013-11-22
|
ANTHONY J. ISELBORN, D.C., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9047313000
|
Plan sponsor’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301
|
Signature of
Role |
Plan administrator |
Date |
2013-11-22 |
Name of individual signing |
ANTHONY J. ISELBORN, DC, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTHONY J. ISELBORN, D.C., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2012
|
592718880
|
2013-05-14
|
ANTHONY J. ISELBORN, D.C., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9047313000
|
Plan sponsor’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301
|
Signature of
Role |
Plan administrator |
Date |
2013-05-14 |
Name of individual signing |
ANTHONY J. ISELBORN, DC, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTHONY J. ISELBORN, D.C., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2011
|
592718880
|
2012-10-10
|
ANTHONY J. ISELBORN, D.C., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9047313000
|
Plan sponsor’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301
|
Plan administrator’s name and address
Administrator’s EIN |
592718880 |
Plan administrator’s name |
ANTHONY J. ISELBORN, D.C., P.A. |
Plan administrator’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301 |
Administrator’s telephone number |
9047313000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
ANTHONY J. ISELBORN, DC, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTHONY J. ISELBORN, D.C., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2010
|
592718880
|
2011-10-06
|
ANTHONY J. ISELBORN, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9047313000
|
Plan sponsor’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301
|
Plan administrator’s name and address
Administrator’s EIN |
592718880 |
Plan administrator’s name |
ANTHONY J. ISELBORN, D.C., P.A. |
Plan administrator’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301 |
Administrator’s telephone number |
9047313000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
ANTHONY J. ISELBORN, DC, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANTHONY J. ISELBORN, D.C., P.A. EMPLOYEES' PROFIT SHARING PLAN AND TRUST
|
2009
|
592718880
|
2010-10-11
|
ANTHONY J. ISELBORN, D.C., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9047313000
|
Plan sponsor’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301
|
Plan administrator’s name and address
Administrator’s EIN |
592718880 |
Plan administrator’s name |
ANTHONY J. ISELBORN, D.C., P.A. |
Plan administrator’s
address |
3355 HENDRICKS AVENUE, JACKSONVILLE, FL, 322075301 |
Administrator’s telephone number |
9047313000 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
ANTHONY J. ISELBORN, DC, PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|