|
CAPPIELLO MEDICAL CLINIC P.A. 401K PROFIT SHARING PLAN
|
2012
|
205164797
|
2013-03-01
|
CAPPIELLO MEDICAL CLINIC, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-09-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
7279373280
|
| Plan sponsor’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690
|
Signature of
| Role |
Plan administrator |
| Date |
2013-03-01 |
| Name of individual signing |
ANGELO CAPPIELLO, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAPPIELLO MEDICAL CLINIC P.A. 401K PROFIT SHARING PLAN
|
2011
|
205164797
|
2012-08-24
|
CAPPIELLO MEDICAL CLINIC, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-09-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
7279373280
|
| Plan sponsor’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690
|
Plan administrator’s name and address
| Administrator’s EIN |
205164797 |
| Plan administrator’s name |
CAPPIELLO MEDICAL CLINIC, P.A. |
| Plan administrator’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690 |
| Administrator’s telephone number |
7279373280 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-24 |
| Name of individual signing |
ANGELO CAPPIELLO, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAPPIELLO MEDICAL CLINIC P.A. 401K PROFIT SHARING PLAN
|
2010
|
205164797
|
2011-07-08
|
CAPPIELLO MEDICAL CLINIC, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-09-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
5612783110
|
| Plan sponsor’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690
|
Plan administrator’s name and address
| Administrator’s EIN |
205164797 |
| Plan administrator’s name |
CAPPIELLO MEDICAL CLINIC, P.A. |
| Plan administrator’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690 |
| Administrator’s telephone number |
5612783110 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-08 |
| Name of individual signing |
ANGELO CAPPIELLO, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAPPIELLO MEDICAL CENTER, P.A. 401K PROFIT SHARING PLAN
|
2009
|
205164797
|
2010-10-05
|
CAPPIELLO MEDICAL CLINIC, P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-09-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
5612783110
|
| Plan sponsor’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690
|
Plan administrator’s name and address
| Administrator’s EIN |
205164797 |
| Plan administrator’s name |
CAPPIELLO MEDICAL CLINIC, P.A. |
| Plan administrator’s
address |
4915 MILE STRETCH DR, HOLIDAY, FL, 34690 |
| Administrator’s telephone number |
5612783110 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-05 |
| Name of individual signing |
ANGELO CAPPIELLO, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
