JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
043632138
|
2021-06-03
|
JULIA HELENA COSMA, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
043632138
|
2020-01-30
|
JULIA HELENA COSMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2020-01-30 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
043632138
|
2019-10-01
|
JULIA HELENA COSMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
043632138
|
2018-10-05
|
JULIA HELENA COSMA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2018-10-05 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
043632138
|
2018-01-29
|
JULIA HELENA COSMA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2018-01-29 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
043632138
|
2016-09-11
|
JULIA HELENA COSMA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2016-09-11 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
043632138
|
2015-09-27
|
JULIA HELENA COSMA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2015-09-27 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
043632138
|
2014-06-26
|
JULIA HELENA COSMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2014-06-26 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
043632138
|
2013-10-07
|
JULIA HELENA COSMA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIA HELENA COSMA, M.D., P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
043632138
|
2012-10-10
|
JULIA HELENA COSMA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274413857
|
Plan sponsor’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301
|
Plan administrator’s name and address
Administrator’s EIN |
043632138 |
Plan administrator’s name |
JULIA HELENA COSMA, M.D., P.A. |
Plan administrator’s
address |
1305 SOUTH FORT HARRISON AVENUE, SUITE F, CLEARWATER, FL, 337563301 |
Administrator’s telephone number |
7274413857 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
JULIA HELENA COSMA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|