CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2019
|
650653046
|
2020-06-18
|
CHARLES SUIVSKI, O.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-18 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2018
|
650653046
|
2019-05-22
|
CHARLES SUIVSKI, O.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2019-05-22 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-22 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2017
|
650653046
|
2018-03-20
|
CHARLES SUIVSKI, O.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2018-03-20 |
Name of individual signing |
DANA SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-20 |
Name of individual signing |
DANA SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2016
|
650653046
|
2017-09-27
|
CHARLES SUIVSKI, O.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2017-09-27 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-27 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2015
|
650653046
|
2016-07-06
|
CHARLES SUIVSKI, O.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-06 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2014
|
650653046
|
2015-07-05
|
CHARLES SUIVSKI, O.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2015-07-05 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-05 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2013
|
650653046
|
2014-07-07
|
CHARLES SUIVSKI, O.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-07 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2012
|
650653046
|
2013-06-20
|
CHARLES SUIVSKI, O.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN'S WHARF DRIVE, STUART, FL, 34997
|
Signature of
Role |
Plan administrator |
Date |
2013-06-20 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-20 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2011
|
650653046
|
2012-06-30
|
CHARLES SUIVSKI, O.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722869233
|
Plan sponsor’s
address |
8804 S.W. FISHERMAN S WHARF DRIVE, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
650653046 |
Plan administrator’s name |
CHARLES SUIVSKI, O.D., P.A. |
Plan administrator’s
address |
8804 S.W. FISHERMAN S WHARF DRIVE, STUART, FL, 34997 |
Administrator’s telephone number |
7722869233 |
Signature of
Role |
Plan administrator |
Date |
2012-06-30 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-30 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES SUIVSKI, O.D., P.A., PROFIT SHARING PLAN
|
2010
|
650653046
|
2011-06-30
|
CHARLES SUIVSKI, O.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7722834240
|
Plan sponsor’s
address |
8804 S.W. FISHERMANS WHARF DRIVE, STUART, FL, 34997
|
Plan administrator’s name and address
Administrator’s EIN |
650653046 |
Plan administrator’s name |
CHARLES SUIVSKI, O.D., P.A. |
Plan administrator’s
address |
8804 S.W. FISHERMANS WHARF DRIVE, STUART, FL, 34997 |
Administrator’s telephone number |
7722834240 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
CHARLES SUIVSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|