|
BERNABE VAZQUEZ, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650245184
|
2012-09-06
|
BERNABE VAZQUEZ, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3058588222
|
| Plan sponsor’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133
|
Plan administrator’s name and address
| Administrator’s EIN |
650245184 |
| Plan administrator’s name |
BERNABE VAZQUEZ, M.D., P.A. |
| Plan administrator’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133 |
| Administrator’s telephone number |
3058588222 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-06 |
| Name of individual signing |
BERNABE VAZQUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERNABE VAZQUEZ, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650245184
|
2011-09-30
|
BERNABE VAZQUEZ, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3058588222
|
| Plan sponsor’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133
|
Plan administrator’s name and address
| Administrator’s EIN |
650245184 |
| Plan administrator’s name |
BERNABE VAZQUEZ, M.D., P.A. |
| Plan administrator’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133 |
| Administrator’s telephone number |
3058588222 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-30 |
| Name of individual signing |
BERNABE VAZQUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERNABE VAZQUEZ, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650245184
|
2010-10-06
|
BERNABE VAZQUEZ, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3058588222
|
| Plan sponsor’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133
|
Plan administrator’s name and address
| Administrator’s EIN |
650245184 |
| Plan administrator’s name |
BERNABE VAZQUEZ, M.D., P.A. |
| Plan administrator’s
address |
3661 SOUTH MIAMI AVE., STE. 508, MIAMI, FL, 33133 |
| Administrator’s telephone number |
3058588222 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
BERNABE VAZQUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
