WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2019
|
592804337
|
2020-10-13
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2018
|
592804337
|
2019-10-02
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2019-10-02 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2017
|
592804337
|
2018-11-07
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2018-11-07 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
592804337
|
2017-10-12
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
592804337
|
2016-10-11
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
592804337
|
2015-10-09
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506764926
|
Plan sponsor’s
address |
1165 STATE PARK ROAD, CHIPLEY, FL, 32428
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WADE H. MELVIN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592804337
|
2010-11-22
|
WADE H. MELVIN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8506380552
|
Plan sponsor’s
address |
PO BOX 918, CHIPLEY, FL, 324280918
|
Plan administrator’s name and address
Administrator’s EIN |
592804337 |
Plan administrator’s name |
WADE H. MELVIN, M.D., P.A. |
Plan administrator’s
address |
PO BOX 918, CHIPLEY, FL, 324280918 |
Administrator’s telephone number |
8506380552 |
Signature of
Role |
Plan administrator |
Date |
2010-11-22 |
Name of individual signing |
WADE MELVIN M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|