THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
651064163
|
2013-11-18
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Signature of
Role |
Plan administrator |
Date |
2013-11-18 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
651064163
|
2013-05-16
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
651064163
|
2012-09-24
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Plan administrator’s name and address
Administrator’s EIN |
651064163 |
Plan administrator’s name |
THOMAS F. KELLY, M.D., P.A. |
Plan administrator’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505 |
Administrator’s telephone number |
9413659411 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
651064163
|
2012-09-13
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Plan administrator’s name and address
Administrator’s EIN |
651064163 |
Plan administrator’s name |
THOMAS F. KELLY, M.D., P.A. |
Plan administrator’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505 |
Administrator’s telephone number |
9413659411 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
651064163
|
2011-10-05
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Plan administrator’s name and address
Administrator’s EIN |
651064163 |
Plan administrator’s name |
THOMAS F. KELLY, M.D., P.A. |
Plan administrator’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505 |
Administrator’s telephone number |
9413659411 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS F. KELLY, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
651064163
|
2010-10-12
|
THOMAS F. KELLY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9413659411
|
Plan sponsor’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505
|
Plan administrator’s name and address
Administrator’s EIN |
651064163 |
Plan administrator’s name |
THOMAS F. KELLY, M.D., P.A. |
Plan administrator’s
address |
1880 ARLINGTON STREET, SUITE 103, SARASOTA, FL, 342393505 |
Administrator’s telephone number |
9413659411 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
THOMAS F. KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|