S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2015
|
593480541
|
2016-07-05
|
S. J. KORNFELD, M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
|
S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2014
|
593480541
|
2015-07-24
|
S. J. KORNFELD, M.D., INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
|
S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2013
|
593480541
|
2014-09-29
|
S. J. KORNFELD, M.D., INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2014-09-29 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2012
|
593480541
|
2013-07-18
|
S. J. KORNFELD, M.D., INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2012
|
593480541
|
2014-09-29
|
S. J. KORNFELD, M.D., INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
Signature of
Role |
Plan administrator |
Date |
2014-09-29 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. J. KORNFELD, M.D., INC. 401(K) AND PROFIT SHARING PLAN
|
2011
|
593480541
|
2012-08-15
|
S. J. KORNFELD, M.D., INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684
|
Plan administrator’s name and address
Administrator’s EIN |
593480541 |
Plan administrator’s name |
S. J. KORNFELD, M.D., INC. |
Plan administrator’s
address |
34041 U.S. HIGHWAY 19 NORTH, SUITE D, PALM HARBOR, FL, 34684 |
Administrator’s telephone number |
7277876744 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. J. KORNFELD, M.D., INC. 401K AND PROFIT SHARING PLAN
|
2010
|
593480541
|
2011-08-29
|
S. J. KORNFELD, M.D., INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HWY 19 NORTH, STE D, PALM HARBOR, FL, 34684
|
Plan administrator’s name and address
Administrator’s EIN |
593480541 |
Plan administrator’s name |
S. J. KORNFELD, M.D., INC. |
Plan administrator’s
address |
34041 U.S. HWY 19 NORTH, STE D, PALM HARBOR, FL, 34684 |
Administrator’s telephone number |
7277876744 |
Signature of
Role |
Plan administrator |
Date |
2011-08-29 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
S. J. KORNFELD, M.D., INC. 401K AND PROFIT SHARING PLAN
|
2009
|
593480541
|
2010-05-27
|
S. J. KORNFELD, M.D., INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7277876744
|
Plan sponsor’s
address |
34041 U.S. HWY 19 NORTH, STE D, PALM HARBOR, FL, 34684
|
Plan administrator’s name and address
Administrator’s EIN |
593480541 |
Plan administrator’s name |
S. J. KORNFELD, M.D., INC. |
Plan administrator’s
address |
34041 U.S. HWY 19 NORTH, STE D, PALM HARBOR, FL, 34684 |
Administrator’s telephone number |
7277876744 |
Signature of
Role |
Plan administrator |
Date |
2010-05-27 |
Name of individual signing |
S.J. KORNFELD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|