STEVEN A. CREWS, D.O., P.A. 401(K) PLAN AND TRUST
|
2011
|
593041222
|
2012-08-13
|
STEVEN A. CREWS, D.O., 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 |
3523600654
|
Plan sponsor’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759
|
Plan administrator’s name and address
Administrator’s EIN |
593041222 |
Plan administrator’s name |
STEVEN A. CREWS, D.O., P.A. |
Plan administrator’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759 |
Administrator’s telephone number |
3523600654 |
Signature of
Role |
Plan administrator |
Date |
2012-08-13 |
Name of individual signing |
STEVEN A. CREWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN A CREWS, D.O., P.A. 401(K) PLAN AND TRUST
|
2011
|
593041222
|
2012-08-21
|
STEVEN A. CREWS, D.O., P.A.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523600654
|
Plan sponsor’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759
|
Plan administrator’s name and address
Administrator’s EIN |
593041222 |
Plan administrator’s name |
STEVEN A. CREWS, D.O., P.A. |
Plan administrator’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759 |
Administrator’s telephone number |
3523600654 |
Signature of
Role |
Plan administrator |
Date |
2012-08-21 |
Name of individual signing |
STEVEN A. CREWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN A. CREWS, D.O., P.A. 401(K) PLAN AND TRUST
|
2010
|
593041222
|
2011-10-14
|
STEVEN A. CREWS, D.O., P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3523600654
|
Plan sponsor’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759
|
Plan administrator’s name and address
Administrator’s EIN |
593041222 |
Plan administrator’s name |
STEVEN A. CREWS, D.O., P.A. |
Plan administrator’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759 |
Administrator’s telephone number |
3523600654 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
STEVEN A. CREWS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
STEVEN A. CREWS, D.O., P.A. 401(K) PLAN AND TRUST
|
2010
|
593041222
|
2011-10-14
|
STEVEN A. CREWS, D.O., 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 |
3523600654
|
Plan sponsor’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759
|
Plan administrator’s name and address
Administrator’s EIN |
593041222 |
Plan administrator’s name |
STEVEN A. CREWS, D.O., P.A. |
Plan administrator’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759 |
Administrator’s telephone number |
3523600654 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
STEVEN A. CREWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEVEN A. CREWS, D.O., P.A. 401(K) PLAN AND TRUST
|
2009
|
593041222
|
2010-10-03
|
STEVEN A. CREWS, D.O., 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 |
3523600654
|
Plan sponsor’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759
|
Plan administrator’s name and address
Administrator’s EIN |
593041222 |
Plan administrator’s name |
STEVEN A. CREWS, D.O., P.A. |
Plan administrator’s
address |
8135 CENTRALIA COURT, SUITE 101, LEESBURG, FL, 347883759 |
Administrator’s telephone number |
3523600654 |
Signature of
Role |
Plan administrator |
Date |
2010-10-03 |
Name of individual signing |
STEVEN A. CREWS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|