ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2016
|
593609841
|
2017-08-29
|
ERNESTO J. PEREZ, M.D., LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2015
|
593609841
|
2016-05-12
|
ERNESTO J. PEREZ, M.D., LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2014
|
593609841
|
2016-05-12
|
ERNESTO J. PEREZ, M.D., LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2013
|
593609841
|
2014-04-30
|
ERNESTO J. PEREZ, M.D., LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2012
|
593609841
|
2013-09-30
|
ERNESTO J. PEREZ, M.D., LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2011
|
593609841
|
2013-09-30
|
ERNESTO J. PEREZ, M.D., LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
Plan administrator’s name and address
Administrator’s EIN |
593609841 |
Plan administrator’s name |
ERNESTO J. PEREZ, M.D., LLC |
Plan administrator’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505 |
Administrator’s telephone number |
8632991485 |
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2010
|
593609841
|
2013-09-30
|
ERNESTO J. PEREZ, M.D., LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
Plan administrator’s name and address
Administrator’s EIN |
593609841 |
Plan administrator’s name |
ERNESTO J. PEREZ, M.D., LLC |
Plan administrator’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505 |
Administrator’s telephone number |
8632991485 |
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERNESTO J. PEREZ, M.D., LLC PROFIT SHARING PLAN
|
2009
|
593609841
|
2013-09-30
|
ERNESTO J. PEREZ, M.D., LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8632991485
|
Plan sponsor’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505
|
Plan administrator’s name and address
Administrator’s EIN |
593609841 |
Plan administrator’s name |
ERNESTO J. PEREZ, M.D., LLC |
Plan administrator’s
address |
1450 6TH STREET S.E., WINTER HAVEN, FL, 338804505 |
Administrator’s telephone number |
8632991485 |
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-30 |
Name of individual signing |
ERNESTO J. PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|