|
ELLIOT M. LIVSTONE, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650856626
|
2012-09-04
|
ELLIOT M. LIVSTONE, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413775378
|
| Plan sponsor’s
address |
1515 SOUTH OSPREY AVENUE, SUITE C11, SUITE C11, SARASOTA, FL, 34239
|
Plan administrator’s name and address
| Administrator’s EIN |
650856626 |
| Plan administrator’s name |
ELLIOT M. LIVSTONE, M.D., P.A. |
| Plan administrator’s
address |
1515 SOUTH OSPREY AVENUE, SUITE C11, SUITE C11, SARASOTA, FL, 34239 |
| Administrator’s telephone number |
9413775378 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-24 |
| Name of individual signing |
ELLIOT M LIVSTONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELLIOT M. LIVSTONE, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650856626
|
2011-06-22
|
ELLIOT M. LIVSTONE, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413775378
|
| Plan sponsor’s
address |
1515 SOUTH OSPREY AVENUE, SUITE C11, SUITE C11, SARASOTA, FL, 34239
|
Plan administrator’s name and address
| Administrator’s EIN |
650856626 |
| Plan administrator’s name |
ELLIOT M. LIVSTONE, M.D., P.A. |
| Plan administrator’s
address |
1515 SOUTH OSPREY AVENUE, SUITE C11, SUITE C11, SARASOTA, FL, 34239 |
| Administrator’s telephone number |
9413775378 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-10 |
| Name of individual signing |
ELLIOT M LIVSTONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELLIOT M. LIVSTONE, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650856626
|
2010-08-13
|
ELLIOT M. LIVSTONE, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413775378
|
| Plan sponsor’s mailing address |
1515 S OSPREY AVE, SUITE C11, SARASOTA, FL, 34239
|
| Plan sponsor’s
address |
1515 S OSPREY AVE, SUITE C11, SARASOTA, FL, 34239
|
Plan administrator’s name and address
| Administrator’s EIN |
650856626 |
| Plan administrator’s name |
ELLIOT M. LIVSTONE, M.D., P.A. |
| Plan administrator’s
address |
1515 S OSPREY AVE, SUITE C11, SARASOTA, FL, 34239 |
| Administrator’s telephone number |
9413775378 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-11 |
| Name of individual signing |
ELLIOT M LIVSTONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
