|
NEVINE M. CARP, M.D., P.A. 401(K) PLAN
|
2011
|
223952699
|
2012-11-06
|
NEVINE M. CARP, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5613747911
|
| Plan sponsor’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435
|
Plan administrator’s name and address
| Administrator’s EIN |
223952699 |
| Plan administrator’s name |
NEVINE M. CARP, M.D., P.A. |
| Plan administrator’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435 |
| Administrator’s telephone number |
5613747911 |
Signature of
| Role |
Plan administrator |
| Date |
2012-11-06 |
| Name of individual signing |
NEVINE M. CARP |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEVINE M. CARP, M.D., P.A. 401(K) PLAN
|
2011
|
223952699
|
2012-11-14
|
NEVINE M. CARP, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5613747911
|
| Plan sponsor’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435
|
Plan administrator’s name and address
| Administrator’s EIN |
223952699 |
| Plan administrator’s name |
NEVINE M. CARP, M.D., P.A. |
| Plan administrator’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435 |
| Administrator’s telephone number |
5613747911 |
Signature of
| Role |
Plan administrator |
| Date |
2012-11-14 |
| Name of individual signing |
NEVINE M. CARP |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEVINE M. CARP, M.D., P.A. 401(K) PLAN
|
2010
|
223952699
|
2011-05-18
|
NEVINE M. CARP, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5613747911
|
| Plan sponsor’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435
|
Plan administrator’s name and address
| Administrator’s EIN |
223952699 |
| Plan administrator’s name |
NEVINE M. CARP, M.D., P.A. |
| Plan administrator’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435 |
| Administrator’s telephone number |
5613747911 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-18 |
| Name of individual signing |
NEVINE M. CARP |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEVINE M. CARP, M.D., P.A. 401(K) PLAN
|
2009
|
223952699
|
2010-06-30
|
NEVINE M. CARP, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5613747911
|
| Plan sponsor’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435
|
Plan administrator’s name and address
| Administrator’s EIN |
223952699 |
| Plan administrator’s name |
NEVINE M. CARP, M.D., P.A. |
| Plan administrator’s
address |
2623 S. SEACREST BLVD., SUITE 208, BOYNTON BEACH, FL, 33435 |
| Administrator’s telephone number |
5613747911 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-30 |
| Name of individual signing |
NEVINE M. CARP |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
