|
PINELLAS PEDIATRICS, P.A. PROFIT-SHARING PLAN
|
2011
|
593372075
|
2012-08-23
|
PINELLAS PEDIATRICS, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7274613163
|
| Plan sponsor’s mailing address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756
|
| Plan sponsor’s
address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
| Administrator’s EIN |
593372075 |
| Plan administrator’s name |
PINELLAS PEDIATRICS, P.A. |
| Plan administrator’s
address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756 |
| Administrator’s telephone number |
7274613163 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-19 |
| Name of individual signing |
CELIA DIMARCO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-08-22 |
| Name of individual signing |
CELIA DIMARCO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINELLAS PEDIATRICS, P.A. PROFIT-SHARING PLAN
|
2011
|
593372075
|
2012-03-07
|
PINELLAS PEDIATRICS, P.A.
|
6
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7274613163
|
| Plan sponsor’s mailing address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756
|
| Plan sponsor’s
address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
| Administrator’s EIN |
593372075 |
| Plan administrator’s name |
PINELLAS PEDIATRICS, P.A. |
| Plan administrator’s
address |
1105 SOUTH FORT HARRISON, CLEARWATER, FL, 33756 |
| Administrator’s telephone number |
7274613163 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-05 |
| Name of individual signing |
CELIA DIMARCO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINELLAS PEDIATRICS, P.A. PROFIT-SHARING PLAN
|
2010
|
593372075
|
2011-06-28
|
PINELLAS PEDIATRICS, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7274613163
|
| Plan sponsor’s mailing address |
1105 SOUTH FT. HARRISON, CLEARWATER, FL, 33756
|
| Plan sponsor’s
address |
1105 SOUTH FT. HARRISON, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
| Administrator’s EIN |
593372075 |
| Plan administrator’s name |
PINELLAS PEDIATRICS, P.A. |
| Plan administrator’s
address |
1105 SOUTH FT. HARRISON, CLEARWATER, FL, 33756 |
| Administrator’s telephone number |
7274613163 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-28 |
| Name of individual signing |
CELIA DIMARCO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINELLAS PEDIATRICS, P.A. PROFIT-SHARING PLAN
|
2009
|
593372075
|
2010-10-04
|
PINELLAS PEDIATRICS, P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1996-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7274613163
|
| Plan sponsor’s mailing address |
1105 S. FT. HARRISON, CLEARWATER, FL, 33756
|
| Plan sponsor’s
address |
1105 S FT. HARRISON, CLEARWATER, FL, 33756
|
Plan administrator’s name and address
| Administrator’s EIN |
593372075 |
| Plan administrator’s name |
PINELLAS PEDIATRICS, P.A. |
| Plan administrator’s
address |
1105 S. FT. HARRISON, CLEARWATER, FL, 33756 |
| Administrator’s telephone number |
7274613163 |
Number of participants as of the end of the plan year
| Active participants |
6 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
6 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-30 |
| Name of individual signing |
CELIA DIMARCO, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
