HERNANDO BERNAL, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2017
|
593256083
|
2018-09-18
|
HERNANDO BERNAL, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2018-09-18 |
Name of individual signing |
HERNANDO BERNAL, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2016
|
593256083
|
2017-05-22
|
HERNANDO BERNAL, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
HERNANDO BERNAL, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2015
|
593256083
|
2017-01-05
|
HERNANDO BERNAL, M. D. , P. A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2017-01-05 |
Name of individual signing |
HERNANDO BERNAL, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2014
|
593256083
|
2015-06-02
|
HERNANDO BERNAL, M. D. , P. A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2015-06-02 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-02 |
Name of individual signing |
HERNANDO BERNAL, MD, PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593256083
|
2014-09-17
|
HERNANDO BERNAL, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2014-09-17 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593256083
|
2013-10-02
|
HERNANDO BERNAL, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593256083
|
2012-10-12
|
HERNANDO BERNAL, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Plan administrator’s name and address
Administrator’s EIN |
593256083 |
Plan administrator’s name |
HERNANDO BERNAL, M.D., P.A. |
Plan administrator’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937 |
Administrator’s telephone number |
8139713564 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593256083
|
2011-10-12
|
HERNANDO BERNAL, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Plan administrator’s name and address
Administrator’s EIN |
593256083 |
Plan administrator’s name |
HERNANDO BERNAL, M.D., P.A. |
Plan administrator’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937 |
Administrator’s telephone number |
8139713564 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERNANDO BERNAL, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593256083
|
2010-09-13
|
HERNANDO BERNAL, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139713564
|
Plan sponsor’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937
|
Plan administrator’s name and address
Administrator’s EIN |
593256083 |
Plan administrator’s name |
HERNANDO BERNAL, M.D., P.A. |
Plan administrator’s
address |
13801 BRUCE B. DOWNS BLVD., SUITE 204, TAMPA, FL, 336133937 |
Administrator’s telephone number |
8139713564 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
HERNANDO BERNAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|