PETER R. DUMAS, MD PA PROFIT SHARING PLAN
|
2016
|
650472444
|
2017-06-17
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2017-06-05 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-05 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER R. DUMAS, MD PA PROFIT SHARING PLAN
|
2015
|
650472444
|
2016-06-13
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-31 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER R DUMAS MD PA PROFIT SHARING PLAN
|
2014
|
650472444
|
2015-10-09
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER R. DUMAS, MD PA PROFIT SHARING PLAN
|
2013
|
650472444
|
2014-08-29
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Plan administrator’s name and address
Administrator’s EIN |
650472444 |
Plan administrator’s name |
PETER R. DUMAS, M.D., P.A. |
Administrator’s telephone number |
9414934997 |
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-29 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER R. DUMAS, MD PA PROFIT SHARING PLAN
|
2012
|
650472444
|
2013-07-13
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2013-06-29 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-29 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETER R. DUMAS, MD PA PROFIT SHARING PLAN
|
2011
|
650472444
|
2012-07-17
|
PETER R. DUMAS, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414934997
|
Plan sponsor’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292
|
Plan administrator’s name and address
Administrator’s EIN |
650472444 |
Plan administrator’s name |
PETER R. DUMAS, M.D., P.A. |
Plan administrator’s
address |
1215 JACARANDA BLVD., VENICE, FL, 34292 |
Administrator’s telephone number |
9414934997 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
PETER R. DUMAS MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|