|
LAWRENCE M. KORPECK, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592788943
|
2012-09-25
|
LAWRENCE M. KORPECK, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
5614161272
|
| Plan sponsor’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420
|
Plan administrator’s name and address
| Administrator’s EIN |
592788943 |
| Plan administrator’s name |
LAWRENCE M. KORPECK, M.D., P.A. |
| Plan administrator’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420 |
| Administrator’s telephone number |
5614161272 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-25 |
| Name of individual signing |
LAWRENCE KORPECK MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAWRENCE M. KORPECK, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592788943
|
2011-07-15
|
LAWRENCE M. KORPECK, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
5614161272
|
| Plan sponsor’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420
|
Plan administrator’s name and address
| Administrator’s EIN |
592788943 |
| Plan administrator’s name |
LAWRENCE M. KORPECK, M.D., P.A. |
| Plan administrator’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420 |
| Administrator’s telephone number |
5614161272 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-15 |
| Name of individual signing |
LAWRENCE KORPECK MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAWRENCE M. KORPECK, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592788943
|
2010-09-13
|
LAWRENCE M. KORPECK, M.D., P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
5614161272
|
| Plan sponsor’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420
|
Plan administrator’s name and address
| Administrator’s EIN |
592788943 |
| Plan administrator’s name |
LAWRENCE M. KORPECK, M.D., P.A. |
| Plan administrator’s
address |
200 GLADES RD., SUITE 1A, BOCA RATON, FL, 334321420 |
| Administrator’s telephone number |
5614161272 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-13 |
| Name of individual signing |
LAWRENCE KORPECK MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
