MONSOUR, WEAVER, LEB, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
261526513
|
2011-04-10
|
MONSOUR, WEAVER, LEB, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866778561
|
Plan sponsor’s
address |
6 FERNWOOD TRAIL, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
261526513 |
Plan administrator’s name |
MONSOUR, WEAVER, LEB, P.A. |
Plan administrator’s
address |
6 FERNWOOD TRAIL, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866778561 |
Signature of
Role |
Plan administrator |
Date |
2011-04-10 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-10 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONSOUR, WEAVER, LEB, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
261526513
|
2011-10-23
|
MONSOUR, WEAVER, LEB, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866778561
|
Plan sponsor’s
address |
6 FERNWOOD TRAIL, ORMOND BEACH, FL, 32174
|
Plan administrator’s name and address
Administrator’s EIN |
261526513 |
Plan administrator’s name |
MONSOUR, WEAVER, LEB, P.A. |
Plan administrator’s
address |
6 FERNWOOD TRAIL, ORMOND BEACH, FL, 32174 |
Administrator’s telephone number |
3866778561 |
Signature of
Role |
Plan administrator |
Date |
2011-10-23 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-23 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MONSOUR, WEAVER, LEB, P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
261526513
|
2010-07-21
|
MONSOUR, WEAVER, LEB, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3866722941
|
Plan sponsor’s
address |
1680 DUNLAWTON AVENUE, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
261526513 |
Plan administrator’s name |
MONSOUR, WEAVER, LEB, P.A. |
Plan administrator’s
address |
1680 DUNLAWTON AVENUE, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3866722941 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
FREDERICK J. MONSOUR, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|