JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650422965
|
2016-05-05
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9547535292
|
Plan sponsor’s
address |
12270 NW 71ST STREET, PARKLAND, FL, 330764601
|
Signature of
Role |
Plan administrator |
Date |
2016-05-05 |
Name of individual signing |
JEROLD A. COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
650422965
|
2015-05-13
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9547535292
|
Plan sponsor’s
address |
12270 NW 71ST STREET, PARKLAND, FL, 330764601
|
Signature of
Role |
Plan administrator |
Date |
2015-05-13 |
Name of individual signing |
JEROLD A. COHEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
650422965
|
2014-05-16
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Signature of
Role |
Plan administrator |
Date |
2014-05-16 |
Name of individual signing |
REBECCA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
650422965
|
2013-05-24
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Signature of
Role |
Plan administrator |
Date |
2013-05-24 |
Name of individual signing |
IGNACIO VILLALOBOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650422965
|
2012-05-30
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Plan administrator’s name and address
Administrator’s EIN |
650422965 |
Plan administrator’s name |
JEROLD A. COHEN, M.D., P.A. |
Plan administrator’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674 |
Administrator’s telephone number |
9549791400 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650422965
|
2011-04-26
|
JEROLD A. COHEN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Plan administrator’s name and address
Administrator’s EIN |
650422965 |
Plan administrator’s name |
JEROLD A. COHEN, M.D., P.A. |
Plan administrator’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674 |
Administrator’s telephone number |
9549791400 |
Signature of
Role |
Plan administrator |
Date |
2011-04-26 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650422965
|
2010-06-18
|
JEROLD A. COHEN, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Plan administrator’s name and address
Administrator’s EIN |
650422965 |
Plan administrator’s name |
JEROLD A. COHEN, M.D., P.A. |
Plan administrator’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674 |
Administrator’s telephone number |
9549791400 |
Signature of
Role |
Plan administrator |
Date |
2010-06-18 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROLD A. COHEN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650422965
|
2010-06-18
|
JEROLD A. COHEN, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-16
|
Business code |
621111
|
Sponsor’s telephone number |
9549791400
|
Plan sponsor’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674
|
Plan administrator’s name and address
Administrator’s EIN |
650422965 |
Plan administrator’s name |
JEROLD A. COHEN, M.D., P.A. |
Plan administrator’s
address |
5800 COLONIAL DRIVE, SUITE 207, MARGATE, FL, 330635674 |
Administrator’s telephone number |
9549791400 |
|