|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
010732394
|
2015-07-18
|
WILLIAM D. ERTAG, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 204, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-17 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
010732394
|
2014-05-13
|
WILLIAM D. ERTAG, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 204, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2014-05-10 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
010732394
|
2013-08-05
|
WILLIAM D. ERTAG, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 204, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-02 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
010732394
|
2012-09-11
|
WILLIAM D. ERTAG, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Plan administrator’s name and address
| Administrator’s EIN |
010732394 |
| Plan administrator’s name |
WILLIAM D. ERTAG, M.D., P.A. |
| Plan administrator’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656 |
| Administrator’s telephone number |
2394300800 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-01 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
010732394
|
2011-09-06
|
WILLIAM D. ERTAG, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Plan administrator’s name and address
| Administrator’s EIN |
010732394 |
| Plan administrator’s name |
WILLIAM D. ERTAG, M.D., P.A. |
| Plan administrator’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656 |
| Administrator’s telephone number |
2394300800 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-04 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WILLIAM D. ERTAG, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
010732394
|
2010-09-02
|
WILLIAM D. ERTAG, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394300800
|
| Plan sponsor’s mailing address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
| Plan sponsor’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656
|
Plan administrator’s name and address
| Administrator’s EIN |
010732394 |
| Plan administrator’s name |
WILLIAM D. ERTAG, M.D., P.A. |
| Plan administrator’s
address |
720 GOODLETTE ROAD NORTH, SUITE 202, NAPLES, FL, 341025656 |
| Administrator’s telephone number |
2394300800 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-01 |
| Name of individual signing |
WILLIAM ERTAG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
