DAVID H. SILVERSTEIN, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593284339
|
2015-08-13
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Signature of
Role |
Plan administrator |
Date |
2015-08-13 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593284339
|
2015-10-09
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
9355 113TH STREET, #3839, SEMINOLE, FL, 33772
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593284339
|
2014-03-15
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Signature of
Role |
Plan administrator |
Date |
2014-03-15 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593284339
|
2013-04-22
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Plan administrator’s name and address
Administrator’s EIN |
593284339 |
Plan administrator’s name |
DAVID H. SILVERSTEIN, M.D., P.A. |
Plan administrator’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147 |
Administrator’s telephone number |
7275254066 |
Signature of
Role |
Plan administrator |
Date |
2013-04-22 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
593284339
|
2012-07-19
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Plan administrator’s name and address
Administrator’s EIN |
593284339 |
Plan administrator’s name |
DAVID H. SILVERSTEIN, M.D., P.A. |
Plan administrator’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147 |
Administrator’s telephone number |
7275254066 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593284339
|
2011-04-20
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Plan administrator’s name and address
Administrator’s EIN |
593284339 |
Plan administrator’s name |
DAVID H. SILVERSTEIN, M.D., P.A. |
Plan administrator’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147 |
Administrator’s telephone number |
7275254066 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID H. SILVERSTEIN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
593284339
|
2010-05-13
|
DAVID H. SILVERSTEIN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7275254066
|
Plan sponsor’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147
|
Plan administrator’s name and address
Administrator’s EIN |
593284339 |
Plan administrator’s name |
DAVID H. SILVERSTEIN, M.D., P.A. |
Plan administrator’s
address |
5880 49TH STREET N., SUITE 207N, ST. PETERSBURG, FL, 337092147 |
Administrator’s telephone number |
7275254066 |
Signature of
Role |
Plan administrator |
Date |
2010-05-13 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-13 |
Name of individual signing |
DAVID H. SILVERSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|