|
HEARN, STEVEN L., P.A.
|
2021
|
593664734
|
2022-06-30
|
STEVEN L. HEARN, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132220003
|
| Plan sponsor’s
address |
600 S. MAGNOLIA AVE, SUITE 200, TAMPA, FL, 33606
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-30 |
| Name of individual signing |
STEVEN L HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-06-30 |
| Name of individual signing |
STEVEN L HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEARN, STEVEN L., P.A.
|
2020
|
593664734
|
2021-08-02
|
STEVEN L. HEARN, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132220003
|
| Plan sponsor’s
address |
600 S. MAGNOLIA AVE, SUITE 200, TAMPA, FL, 33606
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-02 |
| Name of individual signing |
STEVEN L HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEARN, STEVEN L., P.A.
|
2019
|
593664734
|
2020-07-15
|
STEVEN L. HEARN, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132220003
|
| Plan sponsor’s
address |
600 S. MAGNOLIA AVE, SUITE 200, TAMPA, FL, 33606
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-15 |
| Name of individual signing |
STEVEN L. HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEARN, STEVEN L., P.A.
|
2018
|
593664734
|
2019-10-15
|
STEVEN L. HEARN, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132220003
|
| Plan sponsor’s
address |
625 E. TWIGGS ST., SUITE 102, PO BOX 1192, TAMPA, FL, 33602
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-15 |
| Name of individual signing |
STEVEN L HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2019-10-15 |
| Name of individual signing |
STEVEN L HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEARN, STEVEN L., P.A.
|
2016
|
593664734
|
2017-07-24
|
STEVEN L. HEARN, P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
541110
|
| Sponsor’s telephone number |
8132220003
|
| Plan sponsor’s
address |
625 E. TWIGGS ST., SUITE 102, PO BOX 1192, TAMPA, FL, 33602
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-24 |
| Name of individual signing |
STEVEN HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-07-24 |
| Name of individual signing |
STEVEN HEARN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
