SANDRA L. HANSON, M.D. PROFIT SHARING PLAN
|
2010
|
043734645
|
2012-05-03
|
SANDRA L. HANSON, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508823127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508823127 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-03 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA L. HANSON, M.D. DEFINED BENEFIT PLAN
|
2010
|
043734645
|
2012-05-03
|
SANDRA L. HANSON P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508823127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508823127 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-03 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA L. HANSON, M.D. PROFIT SHARING PLAN
|
2010
|
043734545
|
2011-10-17
|
SANDRA L. HANSON, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508823127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734545 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508823127 |
|
SANDRA L. HANSON, M.D. DEFINED BENEFIT PLAN
|
2010
|
043734645
|
2011-10-17
|
SANDRA L. HANSON P.A.
|
4
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508823127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508823127 |
|
SANDRA HANSON, M.D. PROFIT SHARING PLAN
|
2009
|
043734645
|
2010-07-29
|
SANDRA L. HANSON, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA HANSON, M.D. PROFIT SHARING PLAN
|
2009
|
043734645
|
2010-07-28
|
SANDRA L. HANSON, P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SANDRA HANSON, M.D. DEFINED BENEFIT PLAN
|
2009
|
043734645
|
2010-10-13
|
SANDRA L. HANSON, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANDRA HANSON, M.D. PROFIT SHARING PLAN
|
2009
|
043734645
|
2010-07-15
|
SANDRA L. HANSON, P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SANDRA HANSON, M.D. PROFIT SHARING PLAN
|
2009
|
043734645
|
2010-07-15
|
SANDRA L. HANSON, P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SANDRA HANSON, M.D. PROFIT SHARING PLAN
|
2009
|
043734645
|
2010-07-14
|
SANDRA L. HANSON, P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8508623127
|
Plan sponsor’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706
|
Plan administrator’s name and address
Administrator’s EIN |
043734645 |
Plan administrator’s name |
SANDRA L. HANSON, P.A. |
Plan administrator’s
address |
918 MAR WALT DRIVE, FORT WALTON BEACH, FL, 325476706 |
Administrator’s telephone number |
8508623127 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
SANDRA L. HANSON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|