LEOPOLDO GRAUER, MD, PA PROFIT SHARING PLAN
|
2015
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593665510
|
2016-11-17
|
LEOPOLDO GRAUER, M. D. , P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 4600, TAMPA, FL, 33614
|
Signature of
Role |
Plan administrator |
Date |
2016-11-17 |
Name of individual signing |
PAUL GALBRAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, MD, PA PROFIT SHARING PLAN
|
2015
|
593665510
|
2016-06-15
|
LEOPOLDO GRAUER, M. D. , P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 4600, TAMPA, FL, 33614
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-15 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, MD, PA PROFIT SHARING PLAN
|
2014
|
593665510
|
2015-10-05
|
LEOPOLDO GRAUER, M. D. , P. A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
593665510
|
2014-10-03
|
LEOPOLDO GRAUER, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
593665510
|
2013-09-26
|
LEOPOLDO GRAUER, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
593665510
|
2012-09-23
|
LEOPOLDO GRAUER, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Plan administrator’s name and address
Administrator’s EIN |
593665510 |
Plan administrator’s name |
LEOPOLDO GRAUER, M.D., P.A. |
Plan administrator’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123 |
Administrator’s telephone number |
8136738545 |
Signature of
Role |
Plan administrator |
Date |
2012-09-23 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593665510
|
2011-09-16
|
LEOPOLDO GRAUER, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Plan administrator’s name and address
Administrator’s EIN |
593665510 |
Plan administrator’s name |
LEOPOLDO GRAUER, M.D., P.A. |
Plan administrator’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123 |
Administrator’s telephone number |
8136738545 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEOPOLDO GRAUER, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
593665510
|
2010-09-09
|
LEOPOLDO GRAUER, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136738545
|
Plan sponsor’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123
|
Plan administrator’s name and address
Administrator’s EIN |
593665510 |
Plan administrator’s name |
LEOPOLDO GRAUER, M.D., P.A. |
Plan administrator’s
address |
4600 N. HABANA AVENUE, SUITE 29, TAMPA, FL, 336147123 |
Administrator’s telephone number |
8136738545 |
Signature of
Role |
Plan administrator |
Date |
2010-09-09 |
Name of individual signing |
LEOPOLDO GRAUER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|