OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2015
|
593563622
|
2016-06-28
|
OLAYINKA BANKOLE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2016-06-28 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M. D. , P. A. 401(K) PLAN
|
2015
|
593563622
|
2016-12-15
|
OLAYINKA BANKOLE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2016-12-15 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2014
|
593563622
|
2015-10-13
|
OLAYINKA BANKOLE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
OLAYINKA BANKOLE MD PA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2013
|
593563622
|
2014-10-13
|
OLAYINKA BANKOLE, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2012
|
593563622
|
2013-10-15
|
OLAYINKA BANKOLE, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2011
|
593563622
|
2012-10-16
|
OLAYINKA BANKOLE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593563622 |
Plan administrator’s name |
OLAYINKA BANKOLE, M.D., P.A. |
Plan administrator’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607 |
Administrator’s telephone number |
8134140825 |
Signature of
Role |
Plan administrator |
Date |
2012-10-16 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2010
|
593563622
|
2011-07-28
|
OLAYINKA BANKOLE, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593563622 |
Plan administrator’s name |
OLAYINKA BANKOLE, M.D., P.A. |
Plan administrator’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607 |
Administrator’s telephone number |
8134140825 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2009
|
593563622
|
2011-04-07
|
OLAYINKA BANKOLE, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 W. SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593563622 |
Plan administrator’s name |
OLAYINKA BANKOLE, M.D., P.A. |
Plan administrator’s
address |
2901 W. SAINT ISABEL, SUITE D, TAMPA, FL, 33607 |
Administrator’s telephone number |
8134140825 |
Signature of
Role |
Plan administrator |
Date |
2011-04-07 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2009
|
593563622
|
2011-04-07
|
OLAYINKA BANKOLE, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593563622 |
Plan administrator’s name |
OLAYINKA BANKOLE, M.D., P.A. |
Plan administrator’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607 |
Administrator’s telephone number |
8134140825 |
Signature of
Role |
Plan administrator |
Date |
2011-04-07 |
Name of individual signing |
DR. OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OLAYINKA BANKOLE, M.D., P.A. 401(K) PLAN
|
2009
|
593563622
|
2010-12-30
|
OLAYINKA BANKOLE, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8134140825
|
Plan sponsor’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593563622 |
Plan administrator’s name |
OLAYINKA BANKOLE, M.D., P.A. |
Plan administrator’s
address |
2901 WEST SAINT ISABEL, SUITE D, TAMPA, FL, 33607 |
Administrator’s telephone number |
8134140825 |
Signature of
Role |
Plan administrator |
Date |
2010-12-30 |
Name of individual signing |
OLAYINKA BANKOLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|