|
BARRY M. MISKIN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
650173748
|
2013-03-13
|
BARRY M. MISKIN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617454469
|
| Plan sponsor’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410
|
Signature of
| Role |
Plan administrator |
| Date |
2013-03-13 |
| Name of individual signing |
BARRY M. MISKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BARRY M. MISKIN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650173748
|
2012-06-22
|
BARRY M. MISKIN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617454469
|
| Plan sponsor’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
| Administrator’s EIN |
650173748 |
| Plan administrator’s name |
BARRY M. MISKIN, M.D., P.A. |
| Plan administrator’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Administrator’s telephone number |
5617454469 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-22 |
| Name of individual signing |
BARRY M. MISKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BARRY M. MISKIN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650173748
|
2011-09-22
|
BARRY M. MISKIN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617454469
|
| Plan sponsor’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
| Administrator’s EIN |
650173748 |
| Plan administrator’s name |
BARRY M. MISKIN, M.D., P.A. |
| Plan administrator’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Administrator’s telephone number |
5617454469 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-22 |
| Name of individual signing |
BARRY M. MISKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BARRY M. MISKIN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650173748
|
2010-08-18
|
BARRY M. MISKIN, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5617454469
|
| Plan sponsor’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
| Administrator’s EIN |
650173748 |
| Plan administrator’s name |
BARRY M. MISKIN, M.D., P.A. |
| Plan administrator’s
address |
1926 LENMORE DRIVE, PALM BEACH GARDENS, FL, 33410 |
| Administrator’s telephone number |
5617454469 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-18 |
| Name of individual signing |
BARRY M. MISKIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
