CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2016
|
593090718
|
2017-09-14
|
CYPRESS MEDICAL CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2016
|
593090718
|
2017-11-30
|
CYPRESS MEDICAL CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2017-11-30 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-30 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2015
|
593090718
|
2016-06-24
|
CYPRESS MEDICAL CARE, 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 |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-23 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2014
|
593090718
|
2015-08-19
|
CYPRESS MEDICAL CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-18 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2013
|
593090718
|
2014-06-18
|
CYPRESS MEDICAL CARE, 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 |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2014-06-18 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-18 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2012
|
593090718
|
2013-07-23
|
CYPRESS MEDICAL CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2011
|
593090718
|
2013-07-23
|
CYPRESS MEDICAL CARE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593090718 |
Plan administrator’s name |
CYPRESS MEDICAL CARE, P.A. |
Plan administrator’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607 |
Administrator’s telephone number |
8138753444 |
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2011
|
593090718
|
2012-06-28
|
CYPRESS MEDICAL CARE, P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593090718 |
Plan administrator’s name |
CYPRESS MEDICAL CARE, P.A. |
Plan administrator’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607 |
Administrator’s telephone number |
8138753444 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2010
|
593090718
|
2011-06-08
|
CYPRESS MEDICAL CARE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593090718 |
Plan administrator’s name |
CYPRESS MEDICAL CARE, P.A. |
Plan administrator’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607 |
Administrator’s telephone number |
8138753444 |
Signature of
Role |
Plan administrator |
Date |
2011-06-08 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CYPRESS MEDICAL CARE, P.A. PROFIT SHARING PLAN
|
2009
|
593090718
|
2010-06-30
|
CYPRESS MEDICAL CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8138753444
|
Plan sponsor’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607
|
Plan administrator’s name and address
Administrator’s EIN |
593090718 |
Plan administrator’s name |
CYPRESS MEDICAL CARE, P.A. |
Plan administrator’s
address |
3102 WEST CYPRESS, TAMPA, FL, 33607 |
Administrator’s telephone number |
8138753444 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
TULSIBHAI PIPALIA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|