ADVANCED ALLERGY ASTHMA AND SINUS CARE, P. A. 401(K) PS PLAN
|
2014
|
262878180
|
2015-07-01
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616276277
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Signature of
Role |
Plan administrator |
Date |
2015-07-01 |
Name of individual signing |
JEAN-PAUL AZZI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. 401(K) PS PLAN
|
2013
|
262878180
|
2014-10-03
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
JEAN-PAUL AZZI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-03 |
Name of individual signing |
JEAN-PAUL AZZI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. 401(K) PS PLAN
|
2012
|
262878180
|
2013-09-26
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616276277
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. 401(K) PS PLAN
|
2011
|
262878180
|
2012-10-08
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616276277
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
262878180 |
Plan administrator’s name |
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. |
Plan administrator’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458 |
Administrator’s telephone number |
5616276277 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. 401(K) PS PLAN
|
2010
|
262878180
|
2011-09-22
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616276277
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
262878180 |
Plan administrator’s name |
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. |
Plan administrator’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458 |
Administrator’s telephone number |
5616276277 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-22 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. 401(K) PS PLAN
|
2009
|
262878180
|
2010-10-08
|
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616276277
|
Plan sponsor’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458
|
Plan administrator’s name and address
Administrator’s EIN |
262878180 |
Plan administrator’s name |
ADVANCED ALLERGY ASTHMA AND SINUS CARE, P.A. |
Plan administrator’s
address |
4495 MILITARY TRAIL, SUITE 202, JUPITER, FL, 33458 |
Administrator’s telephone number |
5616276277 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
JOHN FARACI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|