SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2013
|
421149403
|
2015-02-25
|
SAMUEL V. ESTEPA, M.D., P.C.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Signature of
Role |
Plan administrator |
Date |
2015-02-25 |
Name of individual signing |
AURORA S. ESTEPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2013
|
421149403
|
2015-02-25
|
SAMUEL V. ESTEPA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Signature of
Role |
Plan administrator |
Date |
2015-02-25 |
Name of individual signing |
AURORA S. ESTEPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2012
|
421149403
|
2014-04-15
|
SAMUEL V. ESTEPA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Plan administrator’s name and address
Administrator’s EIN |
421149403 |
Plan administrator’s name |
SAMUEL V. ESTEPA, M.D., P.C. |
Administrator’s telephone number |
9415058649 |
Signature of
Role |
Plan administrator |
Date |
2014-04-15 |
Name of individual signing |
AURORA S. ESTEPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2011
|
421149403
|
2013-04-12
|
SAMUEL V. ESTEPA, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Plan administrator’s name and address
Administrator’s EIN |
421149403 |
Plan administrator’s name |
SAMUEL V. ESTEPA, M.D., P.C. |
Plan administrator’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028 |
Administrator’s telephone number |
9415058649 |
Signature of
Role |
Plan administrator |
Date |
2013-04-12 |
Name of individual signing |
AURORA S. ESTEPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2010
|
421149403
|
2011-10-10
|
SAMUEL V. ESTEPA, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Plan administrator’s name and address
Administrator’s EIN |
421149403 |
Plan administrator’s name |
SAMUEL V. ESTEPA, M.D., P.C. |
Plan administrator’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028 |
Administrator’s telephone number |
9416398797 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMUEL V. ESTEPA, M.D., P.C. PROFIT SHARING PLAN AND TRUST
|
2009
|
421149403
|
2011-09-20
|
SAMUEL V. ESTEPA, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416398797
|
Plan sponsor’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028
|
Plan administrator’s name and address
Administrator’s EIN |
421149403 |
Plan administrator’s name |
SAMUEL V. ESTEPA, M.D., P.C. |
Plan administrator’s
address |
97 VIVANTE BOULEVARD, UNIT 9743, PUNTA GORDA, FL, 339502028 |
Administrator’s telephone number |
9416398797 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
JACQUELINE WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|