|
ELADIO DIEGUEZ, MD PA 401K PROFIT SHARING PLAN
|
2012
|
593669759
|
2013-10-11
|
ELADIO DIEGUEZ, MD PA
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3528732300
|
| Plan sponsor’s
address |
3621 SW 52ND TERRACE, OCALA, FL, 344749491
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-11 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-11 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELADIO DIEGUEZ, MD PA 401K PROFIT SHARING PLAN
|
2011
|
593669759
|
2012-09-30
|
ELADIO DIEGUEZ, MD PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3528732300
|
| Plan sponsor’s
address |
3621 SW 52ND TERRACE, OCALA, FL, 344749491
|
Plan administrator’s name and address
| Administrator’s EIN |
593669759 |
| Plan administrator’s name |
ELADIO DIEGUEZ, MD PA |
| Plan administrator’s
address |
3621 SW 52ND TERRACE, OCALA, FL, 344749491 |
| Administrator’s telephone number |
3528732300 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-30 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-30 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELADIO DIEGUEZ MD PA 401K PROFIT SHARING PLAN
|
2010
|
593669759
|
2011-10-08
|
ELADIO DIEGUEZ MD PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3528732300
|
| Plan sponsor’s
address |
3621 SW 52ND TERRACE, OCALA, FL, 344749491
|
Plan administrator’s name and address
| Administrator’s EIN |
593669759 |
| Plan administrator’s name |
ELADIO DIEGUEZ MD PA |
| Plan administrator’s
address |
3621 SW 52ND TERRACE, OCALA, FL, 344749491 |
| Administrator’s telephone number |
3528732300 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-08 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-08 |
| Name of individual signing |
ELADIO DIEGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
