RALPH M WURSTER, D.O., PA.
|
2015
|
272330710
|
2016-08-05
|
RALPH M WURSTER, D.O., PA.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4075664763
|
Plan sponsor’s
address |
3810 GOLDEN FEATHER WAY, KISSIMMEE, FL, 34746
|
Signature of
Role |
Plan administrator |
Date |
2016-08-05 |
Name of individual signing |
LAURA WURSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RALPH M WURSTER, D.O., PA.
|
2014
|
272330710
|
2016-08-05
|
RALPH M WURSTER, D.O., PA.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4075664763
|
Plan sponsor’s
address |
1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747
|
Signature of
Role |
Plan administrator |
Date |
2016-08-05 |
Name of individual signing |
LAURA WURSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RALPH M WURSTER, D.O., PA.
|
2014
|
272330710
|
2016-10-19
|
RALPH M WURSTER, D.O., PA.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4075664763
|
Plan sponsor’s
address |
1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747
|
Signature of
Role |
Plan administrator |
Date |
2016-10-19 |
Name of individual signing |
LAURA WURSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RALPH M WURSTER, D.O., PA.
|
2013
|
272330710
|
2016-10-19
|
RALPH M WURSTER, D.O., PA.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4075664763
|
Plan sponsor’s
address |
1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747
|
Signature of
Role |
Plan administrator |
Date |
2016-10-19 |
Name of individual signing |
LAURA WURSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RALPH M WURSTER, D.O., PA.
|
2013
|
272330710
|
2016-08-05
|
RALPH M WURSTER, D.O., PA.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4075664763
|
Plan sponsor’s
address |
1530 CELEBRATION BLVD, SUITE 402, CELEBRATION, FL, 34747
|
Signature of
Role |
Plan administrator |
Date |
2016-08-05 |
Name of individual signing |
LAURA WURSTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|