MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2011
|
593716597
|
2012-08-23
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2011
|
593716597
|
2012-09-25
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2011
|
593716597
|
2012-08-23
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2011
|
593716597
|
2012-07-31
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2010
|
593716597
|
2011-08-02
|
ARMANDO FUENTES M.D., P.A.
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2010
|
593716597
|
2011-08-03
|
ARMANDO FUENTES M.D., P.A.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2011-08-03 |
Name of individual signing |
PENNY JENTIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2010
|
593716597
|
2011-06-27
|
ARMANDO FUENTES M.D., P.A.
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5593536700
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
P O BOX 817, WINTER PARK, FL, 32790
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
P O BOX 817, WINTER PARK, FL, 32790 |
Administrator’s telephone number |
5593536700 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-27 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2009
|
593716597
|
2010-07-01
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076449747
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
147 MORAY LANE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
147 MORAY LANE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
4076449747 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
ARMANDO FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MATERNAL FETAL CENTER PROFIT SHARING AND 401K PLAN
|
2009
|
593716597
|
2010-06-09
|
ARMANDO FUENTES M.D., P.A.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4076449747
|
Plan
sponsor’s DBA name |
MATERNAL FETAL CENTER
|
Plan sponsor’s
address |
147 MORAY LANE, WINTER PARK, FL, 32792
|
Plan administrator’s name and address
Administrator’s EIN |
593716597 |
Plan administrator’s name |
ARMANDO FUENTES M.D., P.A. |
Plan administrator’s
address |
147 MORAY LANE, WINTER PARK, FL, 32792 |
Administrator’s telephone number |
4076449747 |
|