JIMMIE JEAN WILBUR, M.D., P.A. PENSION PLAN
|
2013
|
593575427
|
2014-06-14
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 33617
|
Signature of
Role |
Plan administrator |
Date |
2014-06-14 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2012
|
593575427
|
2013-07-29
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2011
|
593575427
|
2012-10-02
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Plan administrator’s name and address
Administrator’s EIN |
593575427 |
Plan administrator’s name |
JIMMIE JEAN WILBUR, M.D., P.A. |
Plan administrator’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161 |
Administrator’s telephone number |
8139849700 |
Signature of
Role |
Plan administrator |
Date |
2012-10-02 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2010
|
593575427
|
2011-10-14
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Plan administrator’s name and address
Administrator’s EIN |
593575427 |
Plan administrator’s name |
JIMMIE JEAN WILBUR, M.D., P.A. |
Plan administrator’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161 |
Administrator’s telephone number |
8139849700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2010
|
593575427
|
2011-10-17
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Plan administrator’s name and address
Administrator’s EIN |
593575427 |
Plan administrator’s name |
JIMMIE JEAN WILBUR, M.D., P.A. |
Plan administrator’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161 |
Administrator’s telephone number |
8139849700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2010
|
593575427
|
2011-10-13
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Plan administrator’s name and address
Administrator’s EIN |
593575427 |
Plan administrator’s name |
JIMMIE JEAN WILBUR, M.D., P.A. |
Plan administrator’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161 |
Administrator’s telephone number |
8139849700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JIMMIE J. WILBUR, M.D., P.A. PENSION PLAN
|
2009
|
593575427
|
2010-10-12
|
JIMMIE JEAN WILBUR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8139849700
|
Plan sponsor’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161
|
Plan administrator’s name and address
Administrator’s EIN |
593575427 |
Plan administrator’s name |
JIMMIE JEAN WILBUR, M.D., P.A. |
Plan administrator’s
address |
13381 N. 56TH STREET, TAMPA, FL, 336171161 |
Administrator’s telephone number |
8139849700 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JIMMIE J. WILBUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|