PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
651102697
|
2016-03-17
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2016-03-17 |
Name of individual signing |
PAUL T BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-17 |
Name of individual signing |
PAUL T BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
651102697
|
2015-03-05
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2015-03-05 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-05 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2013
|
651102697
|
2014-03-25
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2014-03-25 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-25 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2012
|
651102697
|
2013-04-05
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2013-04-05 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-05 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2011
|
651102697
|
2012-03-30
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
651102697 |
Plan administrator’s name |
PAUL T. BAKULE, M.D., P.A. |
Plan administrator’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725622524 |
Signature of
Role |
Plan administrator |
Date |
2012-03-30 |
Name of individual signing |
PAUL T BAKULE MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-30 |
Name of individual signing |
PAUL T BAKULE MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2010
|
651102697
|
2011-05-24
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
651102697 |
Plan administrator’s name |
PAUL T. BAKULE, M.D., P.A. |
Plan administrator’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725622524 |
Signature of
Role |
Plan administrator |
Date |
2011-05-24 |
Name of individual signing |
PAUL T BAKULE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-24 |
Name of individual signing |
PAUL T BAKULE, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL T. BAKULE, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2009
|
651102697
|
2010-08-16
|
PAUL T. BAKULE, 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 |
7725622524
|
Plan sponsor’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
651102697 |
Plan administrator’s name |
PAUL T. BAKULE, M.D., P.A. |
Plan administrator’s
address |
787 37TH STREET, SUITE E-130, VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725622524 |
Signature of
Role |
Plan administrator |
Date |
2010-08-16 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-16 |
Name of individual signing |
PAUL BAKULE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|