|
DERMATOLOGY & DERMASURGERY OF NAPLES 401K PLAN
|
2015
|
203029576
|
2016-08-30
|
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2012-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394340303
|
| Plan sponsor’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102
|
|
|
DERMATOLOGY & DERMASURGERY OF NAPLES 401K PLAN
|
2014
|
203029576
|
2015-07-28
|
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2012-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394340303
|
| Plan sponsor’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-28 |
| Name of individual signing |
JOEL F. WALTZER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY & DERMASURGERY OF NAPLES 401K PLAN
|
2013
|
203029576
|
2014-06-16
|
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2012-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394340303
|
| Plan sponsor’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-16 |
| Name of individual signing |
JOEL F. WALTZER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY & DERMASURGERY OF NAPLES 401K PLAN
|
2012
|
203029576
|
2013-07-24
|
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2012-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394340303
|
| Plan sponsor’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-24 |
| Name of individual signing |
JOEL F. WALTZER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY & DERMASURGERY OF NAPLES 401K PLAN
|
2009
|
203029576
|
2010-10-06
|
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2394340303
|
| Plan sponsor’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102
|
Plan administrator’s name and address
| Administrator’s EIN |
203029576 |
| Plan administrator’s name |
DERMATOLOGY & DERMASURGERY OF NAPLES, P.A. |
| Plan administrator’s
address |
1108 GOODLETTE RD N, NAPLES, FL, 34102 |
| Administrator’s telephone number |
2394340303 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
JOEL F. WALTZER, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
