MICHAEL J. BUSCEMI, JR. D. O. , P. A.
|
2016
|
300582912
|
2017-12-21
|
MICHAEL J. BUSCEMI, JR, D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON RD, TAMPA, FL, 336264701
|
|
MICHAEL J. BUSCEMI, JR. D. O. , P. A. PROFIT SHARING PLAN
|
2016
|
300582912
|
2017-07-20
|
MICHAEL J. BUSCEMI, JR. , D. O. , P. A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
PAUL GALBRAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR. D. O. , P. A. PROFIT SHARING PLAN
|
2015
|
300582912
|
2016-10-12
|
MICHAEL J. BUSCEMI, JR. , D. O. , P. A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
PAUL GALBRAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR. D. O. , P. A. PROFIT SHARING PLAN
|
2014
|
300582912
|
2015-10-07
|
MICHAEL J. BUSCEMI, JR. , D. O. , P. A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR. D. O. , P. A. PROFIT SHARING PLAN
|
2014
|
300582912
|
2016-10-25
|
MICHAEL J. BUSCEMI, JR. , D. O. , P. A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2016-10-25 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR., D.O., P.A. PROFIT SHARING PLAN
|
2013
|
300582912
|
2014-09-23
|
MICHAEL J. BUSCEMI, JR., D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2014-09-23 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR., D.O., P.A. PROFIT SHARING PLAN
|
2012
|
300582912
|
2013-09-19
|
MICHAEL J. BUSCEMI, JR., D.O., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Signature of
Role |
Plan administrator |
Date |
2013-09-19 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR., D.O., P.A. PROFIT SHARING PLAN
|
2011
|
300582912
|
2012-10-09
|
MICHAEL J. BUSCEMI, JR., D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Plan administrator’s name and address
Administrator’s EIN |
300582912 |
Plan administrator’s name |
MICHAEL J. BUSCEMI, JR., D.O., P.A. |
Plan administrator’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701 |
Administrator’s telephone number |
8139264010 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL J. BUSCEMI, JR., D.O., P.A. PROFIT SHARING PLAN
|
2010
|
300582912
|
2011-09-28
|
MICHAEL J. BUSCEMI, JR., D.O., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-08-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139264010
|
Plan sponsor’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701
|
Plan administrator’s name and address
Administrator’s EIN |
300582912 |
Plan administrator’s name |
MICHAEL J. BUSCEMI, JR., D.O., P.A. |
Plan administrator’s
address |
10968 SHELDON ROAD, TAMPA, FL, 336264701 |
Administrator’s telephone number |
8139264010 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
MICHAEL J. BUSCEMI, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|