PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
593060573
|
2023-10-16
|
PULMONARY MEDICINE OF VENICE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
5517 AVELLIND PLACE, SARASOTA, FL, 34238
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
593060573
|
2022-07-19
|
PULMONARY MEDICINE OF VENICE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
5517 AVELLIND PLACE, SARASOTA, FL, 34238
|
Signature of
Role |
Plan administrator |
Date |
2022-07-19 |
Name of individual signing |
DONALD ARENTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-19 |
Name of individual signing |
DONALD ARENTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
593060573
|
2021-09-28
|
PULMONARY MEDICINE OF VENICE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-28 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
593060573
|
2020-07-10
|
PULMONARY MEDICINE OF VENICE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
593060573
|
2019-10-09
|
PULMONARY MEDICINE OF VENICE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-09 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
593060573
|
2018-10-10
|
PULMONARY MEDICINE OF VENICE, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
DONALD ARENTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-10 |
Name of individual signing |
DONALD ARENTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
593060573
|
2018-01-31
|
PULMONARY MEDICINE OF VENICE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2018-01-31 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-31 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593060573
|
2016-10-07
|
PULMONARY MEDICINE OF VENICE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-07 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593060573
|
2015-07-29
|
PULMONARY MEDICINE OF VENICE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PULMONARY MEDICINE OF VENICE, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593060573
|
2014-10-15
|
PULMONARY MEDICINE OF VENICE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9414845864
|
Plan sponsor’s
address |
219 PALERMO PLACE, VENICE, FL, 34285
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
DONALD N ARENTS JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|