PHILIPPE MARTINEAU, MD, INC. RETIREMENT TRUST
|
2011
|
650891002
|
2012-10-12
|
PHILIPPE MARTINEAU, MD, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618446005
|
Plan sponsor’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407
|
Plan administrator’s name and address
Administrator’s EIN |
650891002 |
Plan administrator’s name |
PHILIPPE MARTINEAU, MD, INC. |
Plan administrator’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407 |
Administrator’s telephone number |
5618446005 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIPPE MARTINEAU, MD, INC. RETIREMENT TRUST
|
2010
|
650891002
|
2011-10-11
|
PHILIPPE MARTINEAU, MD, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618446005
|
Plan sponsor’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407
|
Plan administrator’s name and address
Administrator’s EIN |
650891002 |
Plan administrator’s name |
PHILIPPE MARTINEAU, MD, INC. |
Plan administrator’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407 |
Administrator’s telephone number |
5618446005 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIPPE MARTINEAU, MD, INC. RETIREMENT TRUST
|
2009
|
650891002
|
2010-08-16
|
PHILIPPE MARTINEAU, MD, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618446005
|
Plan sponsor’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407
|
Plan administrator’s name and address
Administrator’s EIN |
650891002 |
Plan administrator’s name |
PHILIPPE MARTINEAU, MD, INC. |
Plan administrator’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407 |
Administrator’s telephone number |
5618446005 |
Signature of
Role |
Plan administrator |
Date |
2010-08-16 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-16 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIPPE MARTINEAU, MD, INC. RETIREMENT TRUST
|
2009
|
650891002
|
2010-08-18
|
PHILIPPE MARTINEAU, MD, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5618446005
|
Plan sponsor’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407
|
Plan administrator’s name and address
Administrator’s EIN |
650891002 |
Plan administrator’s name |
PHILIPPE MARTINEAU, MD, INC. |
Plan administrator’s
address |
2151 45TH ST., SUITE 210, WEST PALM BEACH, FL, 33407 |
Administrator’s telephone number |
5618446005 |
Signature of
Role |
Plan administrator |
Date |
2010-08-18 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-18 |
Name of individual signing |
PHILIPPE MARTINEAU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|