JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2016
|
650998943
|
2017-10-09
|
JUSTINO SILVESTRE, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-09 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2015
|
650998943
|
2016-07-26
|
JUSTINO SILVESTRE, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2014
|
650998943
|
2015-10-09
|
JUSTINO SILVESTRE, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
JOHN O. WUNDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2013
|
650998943
|
2014-07-29
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2012
|
650998943
|
2013-07-31
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2011
|
650998943
|
2012-07-31
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Plan administrator’s name and address
Administrator’s EIN |
650998943 |
Plan administrator’s name |
JUSTINO SILVESTRE, M.D., P.A. |
Plan administrator’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550 |
Administrator’s telephone number |
9412559815 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-31 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2010
|
650998943
|
2011-08-29
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Plan administrator’s name and address
Administrator’s EIN |
650998943 |
Plan administrator’s name |
JUSTINO SILVESTRE, M.D., P.A. |
Plan administrator’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550 |
Administrator’s telephone number |
9412559815 |
Signature of
Role |
Plan administrator |
Date |
2011-08-29 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-29 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2009
|
650998943
|
2010-10-15
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Plan administrator’s name and address
Administrator’s EIN |
650998943 |
Plan administrator’s name |
JUSTINO SILVESTRE, M.D., P.A. |
Plan administrator’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550 |
Administrator’s telephone number |
9412559815 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JUSTINO SILVESTRE, M.D., P.A. PROFIT SHARING PLAN & TRUST
|
2009
|
650998943
|
2010-10-14
|
JUSTINO SILVESTRE, M.D., P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412559815
|
Plan sponsor’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550
|
Plan administrator’s name and address
Administrator’s EIN |
650998943 |
Plan administrator’s name |
JUSTINO SILVESTRE, M.D., P.A. |
Plan administrator’s
address |
P.O. BOX 495550, PORT CHARLOTTE, FL, 339495550 |
Administrator’s telephone number |
9412559815 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
JUSTINO SILVESTRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|