OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2019
|
650486572
|
2020-10-08
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4060 PGA BLVD., SUITE 101, PALM BEACH GARDENS, FL, 33410
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-08 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2018
|
650486572
|
2019-06-16
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4060 PGA BLVD., SUITE 101, PALM BEACH GARDENS, FL, 33410
|
Signature of
Role |
Plan administrator |
Date |
2019-06-16 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-16 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2017
|
650486572
|
2018-05-25
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4060 PGA BLVD., SUITE 101, PALM BEACH GARDENS, FL, 33410
|
Signature of
Role |
Plan administrator |
Date |
2018-05-25 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-25 |
Name of individual signing |
MICHAEL CONNOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2016
|
650486572
|
2017-08-11
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4060 PGA BLVD., SUITE 101, PALM BEACH GARDENS, FL, 33410
|
Signature of
Role |
Plan administrator |
Date |
2017-08-11 |
Name of individual signing |
MICHELLE KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-11 |
Name of individual signing |
MICHELLE KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
650486572
|
2016-06-05
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Signature of
Role |
Plan administrator |
Date |
2016-06-05 |
Name of individual signing |
MICHELLE KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-05 |
Name of individual signing |
MICHELLE KAMBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
650486572
|
2015-06-14
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Signature of
Role |
Plan administrator |
Date |
2015-06-14 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-14 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., PROFIT SHARING PLAN
|
2013
|
650486572
|
2014-04-09
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Signature of
Role |
Plan administrator |
Date |
2014-04-09 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-09 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., PROFIT SHARING PLAN
|
2012
|
650486572
|
2013-04-22
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Signature of
Role |
Plan administrator |
Date |
2013-04-22 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-22 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., PROFIT SHARING PLAN
|
2011
|
650486572
|
2012-07-13
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Plan administrator’s name and address
Administrator’s EIN |
650486572 |
Plan administrator’s name |
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A. |
Plan administrator’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913 |
Administrator’s telephone number |
5618456500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-13 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A., PROFIT SHARING PLAN
|
2010
|
650486572
|
2011-10-04
|
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618456500
|
Plan sponsor’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913
|
Plan administrator’s name and address
Administrator’s EIN |
650486572 |
Plan administrator’s name |
OCULOPLASTIC AND ORBITAL CONSULTANTS, P.A. |
Plan administrator’s
address |
4461 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL, 334075913 |
Administrator’s telephone number |
5618456500 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
MICHAEL PATIPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|