LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
010695384
|
2024-03-05
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2024-03-05 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
010695384
|
2023-03-21
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2023-03-21 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
010695384
|
2023-03-12
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2023-03-12 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
010695384
|
2022-03-27
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2022-03-27 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
010695384
|
2021-03-17
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2021-03-17 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
010695384
|
2020-03-29
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2020-03-29 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
010695384
|
2019-03-08
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2019-03-08 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
010695384
|
2018-03-19
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2018-03-19 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
010695384
|
2017-03-10
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2017-03-10 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISA A. WHIMS-SQUIRES, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
010695384
|
2016-03-23
|
LISA A. WHIMS-SQUIRES, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7274469847
|
Plan sponsor’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770
|
Plan administrator’s name and address
Administrator’s EIN |
010695384 |
Plan administrator’s name |
LISA A. WHIMS-SQUIRES, D.O., P.A. |
Plan administrator’s
address |
2840 WEST BAY DRIVE, #273, BELLEAIR BLUFFS, FL, 33770 |
Administrator’s telephone number |
7274469847 |
Signature of
Role |
Plan administrator |
Date |
2016-03-23 |
Name of individual signing |
LISA A. WHIMS-SQUIRES, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|