TAMPA INTERNIST, PA PROFIT SHARING PLAN
|
2023
|
205413607
|
2024-04-30
|
TAMPA INTERNIST, PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2024-04-30 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-04-30 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN
|
2022
|
205413607
|
2024-10-09
|
TAMPA INTERNIST, PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA PROFIT SHARING PLAN
|
2022
|
205413607
|
2023-03-23
|
TAMPA INTERNIST, PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2023-03-23 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA PROFIT SHARING PLAN
|
2021
|
205413607
|
2022-04-28
|
TAMPA INTERNIST, PA
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-28 |
Name of individual signing |
NIMESH N PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN
|
2021
|
205413607
|
2023-05-05
|
TAMPA INTERNIST, PA
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2023-05-05 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN
|
2020
|
205413607
|
2022-04-28
|
TAMPA INTERNIST, PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA PROFIT SHARING PLAN
|
2020
|
205413607
|
2021-05-18
|
TAMPA INTERNIST, PA
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2021-05-18 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-18 |
Name of individual signing |
NIMESH N PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN
|
2019
|
205413607
|
2021-04-22
|
TAMPA INTERNIST, PA
|
4
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2021-04-22 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA DEFINED BENEFIT PLAN
|
2019
|
205413607
|
2021-06-23
|
TAMPA INTERNIST, PA
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-12-31
|
Business code |
621111
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S. MANHATTAN AVE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2021-06-23 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAMPA INTERNIST, PA PROFIT SHARING PLAN
|
2019
|
205413607
|
2020-03-27
|
TAMPA INTERNIST, PA
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8138318888
|
Plan sponsor’s
address |
4543 S MANHATTAN AVENUE, SUITE 103, TAMPA, FL, 33611
|
Signature of
Role |
Plan administrator |
Date |
2020-03-27 |
Name of individual signing |
NIMESH PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-27 |
Name of individual signing |
NIMESH N PANCHIGAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|