COLIN T. CHIRCOP, D.O., CHARTERED 401(K) AND PROFIT SHARING PLAN
|
2013
|
593191021
|
2014-05-15
|
COLIN T. CHIRCOP, D.O., CHARTERED
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8136184249
|
Plan sponsor’s
address |
19022 ST. LAURENT DRIVE, LUTZ, FL, 33558
|
Signature of
Role |
Plan administrator |
Date |
2014-05-15 |
Name of individual signing |
YVONNE EKONOMOU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLIN T. CHIRCOP, D.O., CHARTERED 401(K) AND PROFIT SHARING PLAN
|
2012
|
593191021
|
2013-08-16
|
COLIN T. CHIRCOP, D.O., CHARTERED
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138751600
|
Plan sponsor’s
address |
19022 ST. LAURENT DRIVE, LUTZ, FL, 33558
|
Signature of
Role |
Plan administrator |
Date |
2013-08-16 |
Name of individual signing |
YVONNE EKONOMOU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLIN T. CHIRCOP, D.O., CHARTERED 401(K) AND PROFIT SHARING PLAN
|
2011
|
593191021
|
2012-10-09
|
COLIN T. CHIRCOP, D.O., CHARTERED
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138751600
|
Plan sponsor’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
593191021 |
Plan administrator’s name |
COLIN T. CHIRCOP, D.O., CHARTERED |
Plan administrator’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614 |
Administrator’s telephone number |
8138751600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
YVONNE CHIRCOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLIN T. CHIRCOP, D.O., CHARTERED 401(K) AND PROFIT SHARING PLAN
|
2010
|
593191021
|
2011-09-09
|
COLIN T. CHIRCOP, D.O., CHARTERED
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138751600
|
Plan sponsor’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
593191021 |
Plan administrator’s name |
COLIN T. CHIRCOP, D.O., CHARTERED |
Plan administrator’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614 |
Administrator’s telephone number |
8138751600 |
Signature of
Role |
Plan administrator |
Date |
2011-09-09 |
Name of individual signing |
COLIN T. CHIRCOP, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLIN T. CHIRCOP, D.O., CHARTERED 401(K) AND PROFIT SHARING PLAN
|
2009
|
593191021
|
2010-03-30
|
COLIN T. CHIRCOP, D.O., CHARTERED
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138751600
|
Plan sponsor’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
593191021 |
Plan administrator’s name |
COLIN T. CHIRCOP, D.O., CHARTERED |
Plan administrator’s
address |
4620 NORTH HABANA AVENUE, SUITE 201, TAMPA, FL, 33614 |
Administrator’s telephone number |
8138751600 |
Signature of
Role |
Plan administrator |
Date |
2010-03-30 |
Name of individual signing |
COLIN T. CHIRCOP, D.O. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|