RICARDO SANTAYANA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593444084
|
2016-06-29
|
RICARDO SANTAYANA, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 WEST WATERS AVENUE, SUITE B, TAMPA, FL, 33614
|
|
RICARDO SANTAYANA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593444084
|
2016-06-27
|
RICARDO SANTAYANA, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 WEST WATERS AVENUE, SUITE B, TAMPA, FL, 33614
|
|
RICARDO SANTAYANA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593444084
|
2015-01-21
|
RICARDO SANTAYANA, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 WEST WATERS AVENUE, SUITE B, TAMPA, FL, 33614
|
|
RICARDO SANTAYANA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593444084
|
2014-10-13
|
RICARDO SANTAYANA, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 WEST WATERS AVENUE, SUITE B, TAMPA, FL, 33614
|
|
RICARDO SANTAYANA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593444084
|
2013-09-24
|
RICARDO SANTAYANA, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 WEST WATERS AVENUE, SUITE B, TAMPA, FL, 33614
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-24 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICARDO SANTAYANA, M.D., P.A. DEFINED BENEFIT PENSION PLAN
|
2012
|
593444084
|
2013-10-14
|
RICARDO SANTAYANA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879
|
Plan administrator’s name and address
Administrator’s EIN |
593444084 |
Plan administrator’s name |
RICARDO SANTAYANA, M.D., P.A. |
Plan administrator’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879 |
Administrator’s telephone number |
8139327303 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICARDO SANTAYANA, M.D., P.A. DEFINED BENEFIT PENSION PLAN
|
2011
|
593444084
|
2012-10-09
|
RICARDO SANTAYANA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879
|
Plan administrator’s name and address
Administrator’s EIN |
593444084 |
Plan administrator’s name |
RICARDO SANTAYANA, M.D., P.A. |
Plan administrator’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879 |
Administrator’s telephone number |
8139327303 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICARDO SANTAYANA, MD, PA PROFIT SHARING PLAN
|
2011
|
593444084
|
2012-10-09
|
RICARDO SANTAYANA, 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 |
8139327370
|
Plan sponsor’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879
|
Plan administrator’s name and address
Administrator’s EIN |
593444084 |
Plan administrator’s name |
RICARDO SANTAYANA, M.D., P.A. |
Plan administrator’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879 |
Administrator’s telephone number |
8139327370 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICARDO SANTAYANA, MD, PA PROFIT SHARING PLAN
|
2010
|
593444084
|
2011-10-21
|
RICARDO SANTAYANA, 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 |
8139327370
|
Plan sponsor’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879
|
Plan administrator’s name and address
Administrator’s EIN |
593444084 |
Plan administrator’s name |
RICARDO SANTAYANA, M.D., P.A. |
Plan administrator’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879 |
Administrator’s telephone number |
8139327370 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICARDO SANTAYANA, M.D., P.A. DEFINED BENEFIT PENSION PLAN
|
2010
|
593444084
|
2011-10-21
|
RICARDO SANTAYANA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139327303
|
Plan sponsor’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879
|
Plan administrator’s name and address
Administrator’s EIN |
593444084 |
Plan administrator’s name |
RICARDO SANTAYANA, M.D., P.A. |
Plan administrator’s
address |
3201 W. WATERS AVE., SUITE B, TAMPA, FL, 336142879 |
Administrator’s telephone number |
8139327303 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
RICARDO SANTAYANA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|