GEORGE R. PIZARRO, M.D., P.A. RETIREMENT PLAN & TR
|
2013
|
592763461
|
2014-10-09
|
GEORGE R. PIZARRO, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056499092
|
Plan sponsor’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592763461 |
Plan administrator’s name |
GEORGE R. PIZARRO, M.D., P.A. |
Plan administrator’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134 |
Administrator’s telephone number |
3056499092 |
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
GEORGE R. PIZARRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGE R. PIZARRO, M.D., P.A. RETIREMENT PLAN & TR
|
2012
|
592763461
|
2013-08-21
|
GEORGE R. PIZARRO, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056499092
|
Plan sponsor’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592763461 |
Plan administrator’s name |
GEORGE R. PIZARRO, M.D., P.A. |
Plan administrator’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134 |
Administrator’s telephone number |
3056499092 |
Signature of
Role |
Plan administrator |
Date |
2013-08-21 |
Name of individual signing |
GEORGE R. PIZARRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGE R. PIZARRO, M.D., P.A. RETIREMENT PLAN & TR
|
2011
|
592763461
|
2012-10-08
|
GEORGE R. PIZARRO, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056499092
|
Plan sponsor’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592763461 |
Plan administrator’s name |
GEORGE R. PIZARRO, M.D., P.A. |
Plan administrator’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134 |
Administrator’s telephone number |
3056499092 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
GEORGE R. PIZARRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGE R. PIZARRO, M.D., P.A. RETIREMENT PLAN & TR
|
2010
|
592763461
|
2011-08-30
|
GEORGE R. PIZARRO, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056499092
|
Plan sponsor’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592763461 |
Plan administrator’s name |
GEORGE R. PIZARRO, M.D., P.A. |
Plan administrator’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134 |
Administrator’s telephone number |
3056499092 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
GEORGE R. PIZARRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GEORGE R. PIZARRO, M.D., P.A. RETIREMENT PLAN & TR
|
2009
|
592763461
|
2010-09-16
|
GEORGE R. PIZARRO, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056499092
|
Plan sponsor’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592763461 |
Plan administrator’s name |
GEORGE R. PIZARRO, M.D., P.A. |
Plan administrator’s
address |
4795 W. FLAGLER STREET, MIAMI, FL, 33134 |
Administrator’s telephone number |
3056499092 |
Signature of
Role |
Plan administrator |
Date |
2010-09-16 |
Name of individual signing |
GEORGE R. PIZARRO, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|