CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2019
|
650021740
|
2020-09-21
|
CAMPBELL AND KARLIK, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD STE 210, PALM BEACH GARDENS, FL, 334031710
|
Signature of
Role |
Plan administrator |
Date |
2020-09-21 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-21 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2018
|
650021740
|
2019-08-11
|
CAMPBELL AND KARLIK, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD., SUITE 210, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD STE 210, PALM BEACH GARDENS, FL, 334031710 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2019-08-11 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-11 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2017
|
650021740
|
2018-07-27
|
CAMPBELL AND KARLIK, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan
sponsor’s DBA name |
CAMPBELL AND KARLIK, P.A.
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD., SUITE 210, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD., SUITE 210, PALM BEACH GARDENS, FL, 33403 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2016
|
650021740
|
2017-07-24
|
CAMPBELL AND KARLIK, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD STE 210, PALM BEACH GARDENS, FL, 334031710
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD STE 210, PALM BEACH GARDENS, FL, 334031710 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-24 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2015
|
650021740
|
2016-11-10
|
CAMPBELL AND KARLIK, P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BOULEVARD SUITE 210, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD. SUITE 210, PALM BEACH GARDENS, FL, 33403 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2016-11-10 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2014
|
650021740
|
2015-10-15
|
CAMPBELL AND KARLIK, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD SUITE 210, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD SUITE 210, PALM BEACH GARDENS, FL, 33403 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2013
|
650021740
|
2014-10-17
|
CAMPBELL AND KARLIK, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD., SUITE 210, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L KARLIK |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2014-10-17 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-17 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2012
|
650021740
|
2013-07-31
|
CAMPBELL AND KARLIK, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD., SUITE 200, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L KARLIK |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A. PROFIT SHARING PLAN
|
2011
|
650021740
|
2012-10-15
|
CAMPBELL AND KARLIK, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L. KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BOULEVARD, SUITE 200, PALM BEACH GARDENS, FL, 33403 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAMPBELL AND KARLIK, P.A.
|
2010
|
650021740
|
2011-07-29
|
CAMPBELL AND KARLIK, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
5616255220
|
Plan sponsor’s
address |
3450 NORTHLAKE BLVD., SUITE 200, PALM BEACH GARDENS, FL, 33403
|
Plan administrator’s name and address
Administrator’s EIN |
650021740 |
Plan administrator’s name |
DIANE L. KARLIK |
Plan administrator’s
address |
3450 NORTHLAKE BLVD., SUITE 200, PALM BEACH GARDENS, FL, 33403 |
Administrator’s telephone number |
5616255220 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
DIANE KARLIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|