HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2017
|
650389205
|
2018-10-11
|
HISTOPATH LAB, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3525271344
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
SCOTT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2016
|
650389205
|
2017-06-22
|
HISTOPATH LAB, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3525271344
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
LIZAIDA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2015
|
650389205
|
2016-05-27
|
HISTOPATH LAB, P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3525271344
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2016-05-27 |
Name of individual signing |
LIZAIDA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2014
|
650389205
|
2015-06-24
|
HISTOPATH LAB, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3526970189
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2015-06-24 |
Name of individual signing |
PATRICIA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2013
|
650389205
|
2014-05-23
|
HISTOPATH LAB, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3526970189
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2014-05-23 |
Name of individual signing |
PATRICIA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2012
|
650389205
|
2013-07-18
|
HISTOPATH LAB, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3526970189
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
PATRICIA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2011
|
650389205
|
2012-07-30
|
HISTOPATH LAB, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3526970189
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Plan administrator’s name and address
Administrator’s EIN |
650389205 |
Plan administrator’s name |
HISTOPATH LAB, P.A. |
Plan administrator’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461 |
Administrator’s telephone number |
3526970189 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
MIKE DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2010
|
593300275
|
2011-07-12
|
HISTOPATH LAB, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3525271344
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Plan administrator’s name and address
Administrator’s EIN |
593300275 |
Plan administrator’s name |
HISTOPATH LAB, P.A. |
Plan administrator’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461 |
Administrator’s telephone number |
3525271344 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
PATRICIA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISTOPATH LAB, P.A. PROFIT SHARING PLAN
|
2009
|
593300275
|
2010-10-04
|
HISTOPATH LAB, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
3525271344
|
Plan sponsor’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461
|
Plan administrator’s name and address
Administrator’s EIN |
593300275 |
Plan administrator’s name |
HISTOPATH LAB, P.A. |
Plan administrator’s
address |
2671 W NORVELL BRYANT HIGHWAY, LECANTO, FL, 34461 |
Administrator’s telephone number |
3525271344 |
Signature of
Role |
Plan administrator |
Date |
2010-10-04 |
Name of individual signing |
PATRICIA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|