|
SUSAN A. BURTON, P.A. RETIREMENT & SAVINGS PLAN
|
2011
|
331000757
|
2012-10-04
|
SUSAN A. BURTON, P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
531390
|
| Sponsor’s telephone number |
4076821214
|
| Plan sponsor’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703
|
Plan administrator’s name and address
| Administrator’s EIN |
331000757 |
| Plan administrator’s name |
SUSAN A. BURTON, P.A. |
| Plan administrator’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703 |
| Administrator’s telephone number |
4076821214 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-04 |
| Name of individual signing |
TATIANA POMBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-04 |
| Name of individual signing |
TATIANA POMBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SUSAN A. BURTON, P.A. RETIREMENT & SAVINGS PLAN
|
2010
|
331000757
|
2011-09-26
|
SUSAN A. BURTON, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
531390
|
| Sponsor’s telephone number |
4076821214
|
| Plan sponsor’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703
|
Plan administrator’s name and address
| Administrator’s EIN |
331000757 |
| Plan administrator’s name |
SUSAN A. BURTON, P.A. |
| Plan administrator’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703 |
| Administrator’s telephone number |
4076821214 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-26 |
| Name of individual signing |
TATIANA POMBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-26 |
| Name of individual signing |
TATIANA POMBO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SUSAN A. BURTON, P.A. RETIREMENT & SAVINGS PLAN
|
2009
|
331000757
|
2010-10-12
|
SUSAN A. BURTON, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
531390
|
| Sponsor’s telephone number |
4076821214
|
| Plan sponsor’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703
|
Plan administrator’s name and address
| Administrator’s EIN |
331000757 |
| Plan administrator’s name |
SUSAN A. BURTON, P.A. |
| Plan administrator’s
address |
3502 HOLLIDAY AVENUE, APOPKA, FL, 32703 |
| Administrator’s telephone number |
4076821214 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-12 |
| Name of individual signing |
JULIE BURGESS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
