DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2016
|
412193768
|
2017-04-24
|
DAN T. TUDOR, M.D., P.L.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, PO BOX 1881, SANFORD, FL, 32771
|
|
DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2015
|
412193768
|
2016-10-17
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DAN T. TUDOR, M.D., P.L.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, PO BOX 18812, SANFORD, FL, 32771
|
|
DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2014
|
412193768
|
2015-09-04
|
DAN T. TUDOR, M.D., P.L.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, SANFORD, FL, 32771
|
|
DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2013
|
412193768
|
2014-10-14
|
DAN T. TUDOR, M.D., P.L.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, SANFORD, FL, 32771
|
|
DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2012
|
412193768
|
2013-08-26
|
DAN T. TUDOR, M.D., P.L.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, SANFORD, FL, 32771
|
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-26 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAN T. TUDOR, M.D., P.L. PROFIT SHARING PLAN
|
2011
|
412193768
|
2012-10-06
|
DAN T. TUDOR, M.D., P.L.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073235047
|
Plan sponsor’s
address |
419 E. 1ST STREET, PO BOX 1881, SANFORD, FL, 32771
|
Plan administrator’s name and address
Administrator’s EIN |
412193768 |
Plan administrator’s name |
DAN T. TUDOR, M.D., P.L. |
Plan administrator’s
address |
419 E. 1ST STREET, PO BOX 1881, SANFORD, FL, 32771 |
Administrator’s telephone number |
4073235047 |
Signature of
Role |
Plan administrator |
Date |
2012-10-06 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-06 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|