PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
593155217
|
2017-02-21
|
PETER A. DONELAN, M.D., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2017-02-20 |
Name of individual signing |
PETER A. DONELAN M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-20 |
Name of individual signing |
PETER A. DONELAN M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
593155217
|
2017-02-21
|
PETER A. DONELAN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2017-02-17 |
Name of individual signing |
PETER A. DONELAN M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-17 |
Name of individual signing |
PETER A. DONELAN M.D |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
593155217
|
2016-02-25
|
PETER A. DONELAN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2016-02-25 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-25 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
593155217
|
2015-03-04
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2015-03-04 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-04 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
593155217
|
2014-04-04
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2014-04-04 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-04 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
593155217
|
2013-03-25
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Signature of
Role |
Plan administrator |
Date |
2013-03-25 |
Name of individual signing |
PETER DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-25 |
Name of individual signing |
PETER DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
593155217
|
2012-03-05
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Plan administrator’s name and address
Administrator’s EIN |
593155217 |
Plan administrator’s name |
PETER A. DONELAN, M.D., P.A. |
Plan administrator’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644 |
Administrator’s telephone number |
8139721229 |
Signature of
Role |
Plan administrator |
Date |
2012-03-05 |
Name of individual signing |
PETER DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-05 |
Name of individual signing |
PETER DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593155217
|
2011-05-16
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Plan administrator’s name and address
Administrator’s EIN |
593155217 |
Plan administrator’s name |
PETER A. DONELAN, M.D., P.A. |
Plan administrator’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644 |
Administrator’s telephone number |
8139721229 |
Signature of
Role |
Plan administrator |
Date |
2011-05-16 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-16 |
Name of individual signing |
PETER A. DONELAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593155217
|
2011-05-11
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Plan administrator’s name and address
Administrator’s EIN |
593155217 |
Plan administrator’s name |
PETER A. DONELAN, M.D., P.A. |
Plan administrator’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644 |
Administrator’s telephone number |
8139721229 |
Signature of
Role |
Plan administrator |
Date |
2011-05-11 |
Name of individual signing |
PETER A. DONELAN, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-11 |
Name of individual signing |
PETER A. DONELAN, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PETER A. DONELAN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
593155217
|
2010-07-15
|
PETER A. DONELAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139721229
|
Plan sponsor’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644
|
Plan administrator’s name and address
Administrator’s EIN |
593155217 |
Plan administrator’s name |
PETER A. DONELAN, M.D., P.A. |
Plan administrator’s
address |
3000 E. FLETCHER AVE., SUITE 200, TAMPA, FL, 336134644 |
Administrator’s telephone number |
8139721229 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
PETER A. DONELAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-15 |
Name of individual signing |
PETER A. DONELAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|