DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
593517262
|
2017-03-21
|
DAVID R. HEIMAN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Signature of
Role |
Plan administrator |
Date |
2017-03-21 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-21 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
593517262
|
2016-08-25
|
DAVID R. HEIMAN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Signature of
Role |
Plan administrator |
Date |
2016-08-25 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-25 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
593517262
|
2015-10-05
|
DAVID R. HEIMAN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-05 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
593517262
|
2014-09-24
|
DAVID R. HEIMAN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Signature of
Role |
Plan administrator |
Date |
2014-09-24 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-24 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
593517262
|
2013-09-24
|
DAVID R. HEIMAN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
593517262
|
2012-10-15
|
DAVID R. HEIMAN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Plan administrator’s name and address
Administrator’s EIN |
593517262 |
Plan administrator’s name |
DAVID R. HEIMAN, M.D., P.A. |
Plan administrator’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322 |
Administrator’s telephone number |
8138773913 |
Signature of
Role |
Plan administrator |
Date |
2012-10-13 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-13 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
593517262
|
2011-10-13
|
DAVID R. HEIMAN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Plan administrator’s name and address
Administrator’s EIN |
593517262 |
Plan administrator’s name |
DAVID R. HEIMAN, M.D., P.A. |
Plan administrator’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322 |
Administrator’s telephone number |
8138773913 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID R. HEIMAN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
593517262
|
2010-10-04
|
DAVID R. HEIMAN, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138773913
|
Plan sponsor’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322
|
Plan administrator’s name and address
Administrator’s EIN |
593517262 |
Plan administrator’s name |
DAVID R. HEIMAN, M.D., P.A. |
Plan administrator’s
address |
4224 NORTH TAMPANIA AVENUE, TAMPA, FL, 336076322 |
Administrator’s telephone number |
8138773913 |
Signature of
Role |
Plan administrator |
Date |
2010-10-02 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-02 |
Name of individual signing |
DAVID R. HEIMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|