JAIMELA J. DULANEY, M.D., P.A. RETIREMENT PLAN
|
2011
|
061565302
|
2012-07-30
|
JAIMELA J. DULANEY, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412359229
|
Plan sponsor’s
address |
2495 CARING WAY, STE C, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
Administrator’s EIN |
061565302 |
Plan administrator’s name |
JAIMELA J. DULANEY, M.D., P.A. |
Plan administrator’s
address |
2495 CARING WAY, STE C, PORT CHARLOTTE, FL, 33952 |
Administrator’s telephone number |
9412359229 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
JAIMELA DULANEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAIMELA J. DULANEY, M.D., P.A. RETIREMENT PLAN
|
2011
|
061565302
|
2012-11-27
|
JAIMELA J. DULANEY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412359229
|
Plan sponsor’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
Administrator’s EIN |
061565302 |
Plan administrator’s name |
JAIMELA J. DULANEY, M.D., P.A. |
Plan administrator’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 33952 |
Administrator’s telephone number |
9412359229 |
Signature of
Role |
Plan administrator |
Date |
2012-11-27 |
Name of individual signing |
JAIMELA DULANEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAIMELA J. DULANEY, M.D., P.A. RETIREMENT PLAN
|
2010
|
061565302
|
2011-07-11
|
JAIMELA J. DULANEY, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412359229
|
Plan sponsor’s
address |
2495 CARING WAY, STE C, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
Administrator’s EIN |
061565302 |
Plan administrator’s name |
JAIMELA J. DULANEY, M.D., P.A. |
Plan administrator’s
address |
2495 CARING WAY, STE C, PORT CHARLOTTE, FL, 33952 |
Administrator’s telephone number |
9412359229 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
JAIMELA DULANEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAIMELA J. DULANEY, M.D., P.A. RETIREMENT PLAN
|
2009
|
061565302
|
2010-10-12
|
JAIMELA J. DULANEY, M.D., P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412359229
|
Plan sponsor’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 339525380
|
Plan administrator’s name and address
Administrator’s EIN |
061565302 |
Plan administrator’s name |
JAIMELA J. DULANEY, M.D., P.A. |
Plan administrator’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 339525380 |
Administrator’s telephone number |
9412359229 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JAIMELA J. DULANEY, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JAIMELA J. DULANEY, M.D., P.A. RETIREMENT PLAN
|
2009
|
061565302
|
2010-10-12
|
JAIMELA J. DULANEY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9412359229
|
Plan sponsor’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 339525380
|
Plan administrator’s name and address
Administrator’s EIN |
061565302 |
Plan administrator’s name |
JAIMELA J. DULANEY, M.D., P.A. |
Plan administrator’s
address |
2495 CARING WAY, SUITE C, PORT CHARLOTTE, FL, 339525380 |
Administrator’s telephone number |
9412359229 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JAIMELA J. DULANEY, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|