ARVIND SHARMA, MD, PA SAFE HARBOR 401K PROFIT SHARING PLAN & TRUST
|
2013
|
651116665
|
2014-01-30
|
ARVIND SHARMA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157
|
Signature of
Role |
Plan administrator |
Date |
2014-01-30 |
Name of individual signing |
ARVIND SHARMA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, MD, PA SAFE HARBOR 401K PROFIT SHARING PLAN & TRUST
|
2012
|
651116665
|
2013-06-21
|
ARVIND SHARMA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157
|
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
ARVIND SHARMA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, MD, PA SAFE HARBOR 401K PROFIT SHARING PLAN & TRUST
|
2011
|
651116665
|
2013-06-21
|
ARVIND SHARMA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
ARVIND SHARMA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, MD, PA SAFE HARBOR 401K PROFIT SHARING PLAN & TRUST
|
2010
|
592709221
|
2011-10-14
|
ARVIND SHARMA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, M.D., P.A. SAFE HARBOR 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
592709221
|
2012-01-04
|
ARVIND SHARMA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2012-01-04 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, M.D., P.A. SAFE HARBOR 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
592709221
|
2012-01-04
|
ARVIND SHARMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, SUITE 201, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2012-01-04 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, MD, PA SAFE HARBOR 401K PROFIT SHARING PLAN & TRUST
|
2009
|
592709221
|
2010-10-15
|
ARVIND SHARMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARVIND SHARMA, M.D., P.A. SAFE HARBOR 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
592709221
|
2010-10-15
|
ARVIND SHARMA, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9417668080
|
Plan sponsor’s
address |
3390 TAMIAMI TRAIL, STE 2, PORT CHARLOTTE, FL, 339528157
|
Plan administrator’s name and address
Administrator’s EIN |
592709221 |
Plan administrator’s name |
ARVIND SHARMA, M.D., P.A. |
Plan administrator’s
address |
3390 TAMIAMI TRAIL, STE 2, PORT CHARLOTTE, FL, 339528157 |
Administrator’s telephone number |
9417668080 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
GERMAINE LEVERETTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|