JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2015
|
651157019
|
2016-12-21
|
JAMES M. STUZIN, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2016-12-21 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2015
|
651157019
|
2016-05-18
|
JAMES M. STUZIN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2016-05-18 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2014
|
651157019
|
2015-04-30
|
JAMES M. STUZIN, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2013
|
651157019
|
2014-06-11
|
JAMES M. STUZIN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2014-06-11 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2012
|
651157019
|
2013-08-20
|
JAMES M. STUZIN, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2013-08-20 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2011
|
651157019
|
2012-06-13
|
JAMES M. STUZIN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
651157019 |
Plan administrator’s name |
JAMES M. STUZIN, M.D., P.A. |
Plan administrator’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133 |
Administrator’s telephone number |
3058548828 |
Signature of
Role |
Plan administrator |
Date |
2012-06-13 |
Name of individual signing |
JAMES STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2010
|
651157019
|
2011-05-17
|
JAMES M. STUZIN, 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 |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
651157019 |
Plan administrator’s name |
JAMES M. STUZIN, M.D., P.A. |
Plan administrator’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133 |
Administrator’s telephone number |
3058548828 |
Signature of
Role |
Plan administrator |
Date |
2011-05-16 |
Name of individual signing |
JAMES M. STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2009
|
651157019
|
2010-10-05
|
JAMES M. STUZIN, 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 |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
651157019 |
Plan administrator’s name |
JAMES M. STUZIN, M.D., P.A. |
Plan administrator’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133 |
Administrator’s telephone number |
3058548828 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
JAMES M. STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES M. STUZIN, M.D., P.A. CROSS TESTED PROFIT SHARING PLAN
|
2009
|
651157019
|
2010-10-05
|
JAMES M. STUZIN, 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 |
3058548828
|
Plan sponsor’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133
|
Plan administrator’s name and address
Administrator’s EIN |
651157019 |
Plan administrator’s name |
JAMES M. STUZIN, M.D., P.A. |
Plan administrator’s
address |
3225 AVIATION AVENUE, SUITE 100, COCONUT GROVE, FL, 33133 |
Administrator’s telephone number |
3058548828 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
JAMES M. STUZIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|