EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2013
|
650761319
|
2014-03-27
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2013
|
650761319
|
2014-09-05
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Signature of
Role |
Plan administrator |
Date |
2014-09-05 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-05 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2012
|
650761319
|
2013-03-19
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Signature of
Role |
Plan administrator |
Date |
2013-03-18 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-18 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2011
|
650761319
|
2012-03-21
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Plan administrator’s name and address
Administrator’s EIN |
650761319 |
Plan administrator’s name |
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. |
Plan administrator’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907 |
Administrator’s telephone number |
2399361616 |
Signature of
Role |
Plan administrator |
Date |
2012-03-21 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-21 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2010
|
650761319
|
2011-02-11
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Plan administrator’s name and address
Administrator’s EIN |
650761319 |
Plan administrator’s name |
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. |
Plan administrator’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907 |
Administrator’s telephone number |
2399361616 |
Signature of
Role |
Plan administrator |
Date |
2011-02-11 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-11 |
Name of individual signing |
RICHARD J. LANE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. PROFIT SHARING PLAN
|
2009
|
650761319
|
2010-07-14
|
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2399361616
|
Plan sponsor’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907
|
Plan administrator’s name and address
Administrator’s EIN |
650761319 |
Plan administrator’s name |
EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA, P.A. |
Plan administrator’s
address |
39 BARKLEY CIRCLE, FORT MYERS, FL, 33907 |
Administrator’s telephone number |
2399361616 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
PHILLIP E. ANDREWS, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
PHILLIP E. ANDREWS, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|