JORGE L. ALSINA, MD, PA PROFIT SHARING PLAN
|
2011
|
030395607
|
2012-10-10
|
JORGE L ALSINA, MD, PA
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-02-22
|
Business code |
621111
|
Sponsor’s telephone number |
3055564447
|
Plan sponsor’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012
|
Plan administrator’s name and address
Administrator’s EIN |
030395607 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012 |
Administrator’s telephone number |
3055564447 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
JORGE ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
JORGE ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JORGE L. ALSINA, MD, PA PROFIT SHARING PLAN
|
2010
|
030395607
|
2011-03-30
|
JORGE L ALSINA, MD, PA
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-02-22
|
Business code |
621111
|
Sponsor’s telephone number |
3055564447
|
Plan sponsor’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012
|
Plan administrator’s name and address
Administrator’s EIN |
030395607 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012 |
Administrator’s telephone number |
3055564447 |
Signature of
Role |
Plan administrator |
Date |
2011-03-30 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-30 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JORGE L. ALSINA, MD, PA PROFIT SHARING PLAN
|
2009
|
030395607
|
2010-10-15
|
JORGE L ALSINA, MD, PA
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-02-22
|
Business code |
621111
|
Sponsor’s telephone number |
3055564447
|
Plan sponsor’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012
|
Plan administrator’s name and address
Administrator’s EIN |
030395607 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012 |
Administrator’s telephone number |
3055564447 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JORGE L. ALSINA, MD, PA PROFIT SHARING PLAN
|
2009
|
030395607
|
2010-10-17
|
JORGE L ALSINA, MD, PA
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-02-22
|
Business code |
621111
|
Sponsor’s telephone number |
3055564447
|
Plan sponsor’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012
|
Plan administrator’s name and address
Administrator’s EIN |
030395607 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012 |
Administrator’s telephone number |
3055564447 |
Signature of
Role |
Plan administrator |
Date |
2010-10-17 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-17 |
Name of individual signing |
JORGE L ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JORGE L. ALSINA, MD, PA PROFIT SHARING PLAN
|
2009
|
030395607
|
2010-10-10
|
JORGE L ALSINA, MD, PA
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-02-22
|
Business code |
621111
|
Sponsor’s telephone number |
3055564447
|
Plan sponsor’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012
|
Plan administrator’s name and address
Administrator’s EIN |
030395607 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
5590 WEST 8TH AVENUE, HIALEAH, FL, 33012 |
Administrator’s telephone number |
3055564447 |
Signature of
Role |
Plan administrator |
Date |
2010-10-10 |
Name of individual signing |
JORGE ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-10 |
Name of individual signing |
JORGE ALSINA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|