HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2017
|
650090499
|
2018-07-12
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2017
|
650090499
|
2018-07-13
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2015
|
650090499
|
2016-08-18
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2014
|
650090499
|
2015-10-12
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2013
|
650090499
|
2014-09-15
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2012
|
650090499
|
2013-07-30
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
HARRY C. MIDGLEY, III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
HARRY C. MIDGLEY, III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2011
|
650090499
|
2012-10-04
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
650090499 |
Plan administrator’s name |
HARRY C. MIDGLEY, III, M.D., P.A. |
Plan administrator’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458 |
Administrator’s telephone number |
5617489898 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
HARRY C. MIDGLEY, III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
HARRY C. MIDGLEY, III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2010
|
650090499
|
2011-09-20
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
650090499 |
Plan administrator’s name |
HARRY C. MIDGLEY, III, M.D., P.A. |
Plan administrator’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458 |
Administrator’s telephone number |
5617489898 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
HARRY C. MIDGLEY III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-20 |
Name of individual signing |
HARRY C. MIDGLEY III, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2010
|
650090499
|
2011-09-19
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
7
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
650090499 |
Plan administrator’s name |
HARRY C. MIDGLEY, III, M.D., P.A. |
Plan administrator’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458 |
Administrator’s telephone number |
5617489898 |
Signature of
Role |
Plan administrator |
Date |
2011-09-17 |
Name of individual signing |
HARRY C MIDGLEY III |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-17 |
Name of individual signing |
HARRY C MIDGLEY III |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
HARRY C. MIDGLEY, III, M.D., P.A . 401(K) PLAN
|
2009
|
650090499
|
2010-10-04
|
HARRY C. MIDGLEY, III, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617489898
|
Plan sponsor’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
650090499 |
Plan administrator’s name |
HARRY C. MIDGLEY, III, M.D., P.A. |
Plan administrator’s
address |
2055 MILITARY TRAIL, SUITE 312, JUPITER, FL, 33458 |
Administrator’s telephone number |
5617489898 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
HARRY C. MIDGLEY III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-04 |
Name of individual signing |
HARRY C. MIDGLEY III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|