DAVID A SIGALOW MD PA, PROFIT SHARING PLAN AND TRUST
|
2023
|
650473285
|
2024-10-01
|
DAVID A. SIGALOW, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 NE 19TH DRIVE, OKEECHOBEE, FL, 34972
|
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
DR. DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2019
|
650473285
|
2020-10-13
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-13 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2018
|
650473285
|
2019-09-17
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2019-09-17 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-17 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2017
|
650473285
|
2018-10-09
|
DAVID A. SIGALOW, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2016
|
650473285
|
2017-09-21
|
DAVID A. SIGALOW, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2017-09-21 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-21 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2015
|
650473285
|
2016-09-19
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-19 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2014
|
650473285
|
2015-09-15
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-15 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2013
|
650473285
|
2014-10-10
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-10 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2012
|
650473285
|
2013-10-08
|
DAVID A. SIGALOW, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-08 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID A. SIGALOW, M.D., P.A., PROFIT SHARING PLAN
|
2011
|
650473285
|
2012-09-22
|
DAVID A. SIGALOW, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8637630217
|
Plan sponsor’s mailing address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Plan sponsor’s
address |
DAVID A SIGALOW, M.D., 215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933
|
Plan administrator’s name and address
Administrator’s EIN |
650473285 |
Plan administrator’s name |
DAVID A. SIGALOW, M.D., P.A. |
Plan administrator’s
address |
215 N.E. 19TH DRIVE, OKEECHOBEE, FL, 349721933 |
Administrator’s telephone number |
8637630217 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-22 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-22 |
Name of individual signing |
DAVID SIGALOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|