|
DOUGLAS B. SHAPIRO, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650540582
|
2011-01-03
|
DOUGLAS B. SHAPIRO, M.D., P.A.
|
9
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052468000
|
| Plan sponsor’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176
|
Plan administrator’s name and address
| Administrator’s EIN |
650540582 |
| Plan administrator’s name |
DOUGLAS B. SHAPIRO, M.D., P.A. |
| Plan administrator’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176 |
| Administrator’s telephone number |
3052468000 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-03 |
| Name of individual signing |
DOUGLAS SHAPIRO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOUGLAS B. SHAPIRO, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650540582
|
2011-01-06
|
DOUGLAS B. SHAPIRO, M.D., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052468000
|
| Plan sponsor’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176
|
Plan administrator’s name and address
| Administrator’s EIN |
650540582 |
| Plan administrator’s name |
DOUGLAS B. SHAPIRO, M.D., P.A. |
| Plan administrator’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176 |
| Administrator’s telephone number |
3052468000 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-06 |
| Name of individual signing |
DOUGLAS SHAPIRO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOUGLAS B. SHAPIRO, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650540582
|
2010-09-13
|
DOUGLAS B. SHAPIRO, M.D., P.A.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052468000
|
| Plan sponsor’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176
|
Plan administrator’s name and address
| Administrator’s EIN |
650540582 |
| Plan administrator’s name |
DOUGLAS B. SHAPIRO, M.D., P.A. |
| Plan administrator’s
address |
8700 NORTH KENDALL DRIVE, SUITE 101, MIAMI, FL, 33176 |
| Administrator’s telephone number |
3052468000 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-10 |
| Name of individual signing |
DOUGLAS SHAPIRO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
