JOEL K. SHUGAR 401(K) PROFIT-SHARING PLAN
|
2011
|
593071535
|
2012-10-15
|
JOEL K. SHUGAR M.D. INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8502313315
|
Plan sponsor’s
address |
DUNLAP AND SHIPMAN PA, 60 CLAYTON LANE, SUITE A, SANTA ROSA BEACH, FL, 32459
|
Plan administrator’s name and address
Administrator’s EIN |
593071535 |
Plan administrator’s name |
JOEL K. SHUGAR, M.D., INC. |
Plan administrator’s
address |
DUNLAP AND SHIPMAN PA, 60 CLAYTON LANE, SUITE A, SANTA ROSA BEACH, FL, 32459 |
Administrator’s telephone number |
8502313315 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
GARY A. SHIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOEL K. SHUGAR 401(K) PROFIT-SHARING PLAN
|
2010
|
593071535
|
2011-07-17
|
JOEL K. SHUGAR, M.D., INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8502313315
|
Plan sponsor’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459
|
Plan administrator’s name and address
Administrator’s EIN |
593071535 |
Plan administrator’s name |
JOEL K. SHUGAR, M.D., INC. |
Plan administrator’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459 |
Administrator’s telephone number |
8502313315 |
Signature of
Role |
Plan administrator |
Date |
2011-07-17 |
Name of individual signing |
GARY A. SHIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOEL K. SHUGAR 401(K) PROFIT-SHARING PLAN
|
2009
|
593071535
|
2011-07-17
|
JOEL K. SHUGAR, M.D., INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8502313315
|
Plan sponsor’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459
|
Plan administrator’s name and address
Administrator’s EIN |
593071535 |
Plan administrator’s name |
JOEL K. SHUGAR, M.D., INC. |
Plan administrator’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459 |
Administrator’s telephone number |
8502313315 |
Signature of
Role |
Plan administrator |
Date |
2011-07-17 |
Name of individual signing |
GARY A. SHIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOEL K. SHUGAR 401(K) PROFIT-SHARING PLAN
|
2009
|
593071535
|
2010-10-14
|
JOEL K. SHUGAR, M.D., INC.
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
8502313315
|
Plan sponsor’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459
|
Plan administrator’s name and address
Administrator’s EIN |
593071535 |
Plan administrator’s name |
JOEL K. SHUGAR, M.D., INC. |
Plan administrator’s
address |
DUNLAP AND SHIPMAN PA, 1414 COUNTY HWY 283 S, STE B, SANTA ROSA BEACH, FL, 32459 |
Administrator’s telephone number |
8502313315 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
GARY A. SHIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|