|
EDMUND D. QUINTANA, P.A. PROFIT SHARING TRUST
|
2016
|
593390454
|
2018-01-29
|
EDMUND D. QUINTANA, P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
541110
|
| Plan sponsor’s
address |
1240 W 23RD ST, PANAMA CITY, FL, 324053646
|
Plan administrator’s name and address
| Administrator’s EIN |
593390454 |
| Plan administrator’s name |
EDMUND D. QUINTANA |
| Plan administrator’s
address |
1240 W 23RD ST, PANAMA CITY, FL, 324053646 |
Signature of
| Role |
Plan administrator |
| Date |
2018-01-29 |
| Name of individual signing |
EDMUND QUINTANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDMUND D, QUINTANA, P.A. PROFIT SHARING TRUST
|
2011
|
593390454
|
2013-01-28
|
EDMUND D. QUINTANA, P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
541110
|
| Plan sponsor’s mailing address |
1100 KRISTANNA DR., PANAMA CITY, FL, 32405
|
| Plan sponsor’s
address |
1100 KRISTANNA DR., PANAMA CITY, FL, 32405
|
Plan administrator’s name and address
| Administrator’s EIN |
593390454 |
| Plan administrator’s name |
EDMUND D. QUINTANA, P.A. |
| Plan administrator’s
address |
1240 W. 23RD STREET, PANAMA CITY, FL, 23405 |
| Administrator’s telephone number |
8508147171 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-28 |
| Name of individual signing |
EDMUND QUINTANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-01-28 |
| Name of individual signing |
EDMUND QUINTANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDMUND D, QUINTANA, P.A. PROFIT SHARING TRUST
|
2011
|
593390454
|
2013-01-28
|
EDMUND D. QUINTANA, P.A.
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
541110
|
| Plan sponsor’s mailing address |
1100 KRISTANNA DR., PANAMA CITY, FL, 32405
|
| Plan sponsor’s
address |
1100 KRISTANNA DR., PANAMA CITY, FL, 32405
|
Plan administrator’s name and address
| Administrator’s EIN |
593390454 |
| Plan administrator’s name |
EDMUND D. QUINTANA, P.A. |
| Plan administrator’s
address |
1240 W. 23RD STREET, PANAMA CITY, FL, 23405 |
| Administrator’s telephone number |
8508147171 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-28 |
| Name of individual signing |
EDMUND QUINTANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-01-28 |
| Name of individual signing |
EDMUND QUINTANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
