PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2017
|
263564467
|
2018-11-12
|
PATEL PULMONARY P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2018-11-12 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2016
|
263564467
|
2017-04-21
|
PATEL PULMONARY P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2017-04-21 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2015
|
263564467
|
2016-06-22
|
PATEL PULMONARY P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2014
|
263564467
|
2015-05-11
|
PATEL PULMONARY P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2015-05-11 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2013
|
263564467
|
2014-09-19
|
PATEL PULMONARY P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2014-09-19 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATEL PULMONARY P.A. DEFINED BENEFIT PLAN
|
2012
|
263564467
|
2013-07-26
|
PATEL PULMONARY P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8634710002
|
Plan sponsor’s
address |
1739 US HWY 27 SOUTH, SEBRING, FL, 33870
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
DR DEEPAK PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|