|
LEON M. HIRZEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2017
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208102359
|
2018-10-22
|
LEON M. HIRZEL, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3055993200
|
| Plan sponsor’s
address |
7951 S.W. 124 STREET, PINECREST, FL, 33156
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-22 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-10-22 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEON M. HIRZEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2016
|
208102359
|
2017-09-05
|
LEON M. HIRZEL, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3055993200
|
| Plan sponsor’s
address |
7951 S.W. 124 STREET, PINECREST, FL, 33156
|
Signature of
| Role |
Plan administrator |
| Date |
2017-09-05 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-09-05 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEON M. HIRZEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2015
|
208102359
|
2016-09-26
|
LEON M. HIRZEL, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3055993200
|
| Plan sponsor’s
address |
7951 S.W. 124 STREET, PINECREST, FL, 33156
|
Signature of
| Role |
Plan administrator |
| Date |
2016-09-26 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-09-26 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEON M. HIRZEL, M. D. , P. A. DEFINED BENEFIT PLA
|
2014
|
208102359
|
2015-10-13
|
LEON M. HIRZEL, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3055993200
|
| Plan sponsor’s
address |
7951 S.W. 124 STREET, PINECREST, FL, 33156
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-13 |
| Name of individual signing |
LEON M. HIRZEL, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-10-13 |
| Name of individual signing |
LEON M HIRZEL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
