GEORGIS PATSIAS, M.D., P.A. 401(K) PLAN AND TRUST
|
2012
|
650602671
|
2013-06-24
|
GEORGIS PATSIAS, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617354984
|
Plan sponsor’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414
|
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-24 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGIS PATSIAS, M.D., P.A. 401(K) PLAN AND TRUST
|
2011
|
650602671
|
2012-09-25
|
GEORGIS PATSIAS, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617354984
|
Plan sponsor’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650602671 |
Plan administrator’s name |
GEORGIS PATSIAS, M.D., P.A. |
Plan administrator’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617354984 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-25 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGIS PATSIAS, M.D., P.A. 401(K) PLAN AND TRUST
|
2010
|
650602671
|
2011-09-26
|
GEORGIS PATSIAS, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617354984
|
Plan sponsor’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650602671 |
Plan administrator’s name |
GEORGIS PATSIAS, M.D., P.A. |
Plan administrator’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617354984 |
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-26 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGIS PATSIAS, MD, PA 401(K) PLAN AND TRUST
|
2009
|
650602671
|
2010-07-23
|
GEORGIS PATSIAS, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5617354984
|
Plan sponsor’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650602671 |
Plan administrator’s name |
GEORGIS PATSIAS, M.D., P.A. |
Plan administrator’s
address |
1962 SOUTH CLUB DRIVE, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617354984 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
GEORGIS PATSIAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|