CHIRAG PATEL, M. D. , P. A. DEFINED BENEFIT PLAN
|
2017
|
454642000
|
2018-02-19
|
CHIRAG PATEL, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8482194857
|
Plan sponsor’s
address |
1519 LEXINGTON AVENUE, DAVENPORT, FL, 33837
|
Signature of
Role |
Plan administrator |
Date |
2018-02-19 |
Name of individual signing |
SWATI PATEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHIRAG PATEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2016
|
454642000
|
2017-05-16
|
CHIRAG PATEL, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8482194857
|
Plan sponsor’s
address |
1519 LEXINGTON AVENUE, DAVENPORT, FL, 33837
|
Signature of
Role |
Plan administrator |
Date |
2017-05-16 |
Name of individual signing |
CHIRAG PATEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHIRAG PATEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2015
|
454642000
|
2016-10-16
|
CHIRAG PATEL, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8482194857
|
Plan sponsor’s
address |
1519 LEXINGTON AVENUE, DAVENPORT, FL, 33837
|
Signature of
Role |
Plan administrator |
Date |
2016-10-16 |
Name of individual signing |
CHIRAG PATEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHIRAG PATEL, M.D., P.A. DEFINED BENEFIT PLAN
|
2014
|
454642000
|
2015-10-09
|
CHIRAG PATEL, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8482194857
|
Plan sponsor’s
address |
1519 LEXINGTON AVENUE, DAVENPORT, FL, 33837
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
CHIRAG PATEL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|