PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2011
|
593087159
|
2012-10-12
|
PAUL D. SOVRAN, M.D. P.A.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2010
|
593087159
|
2011-11-15
|
PAUL D. SOVRAN, M.D. P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-15 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-15 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2010
|
593087159
|
2011-11-14
|
PAUL D. SOVRAN, M.D. P.A.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-14 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-14 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2010
|
593087159
|
2011-10-17
|
PAUL D. SOVRAN, M.D. P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
PAUL SOVRAN MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
PAUL SOVRAN MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2009
|
593087159
|
2010-10-13
|
PAUL D. SOVRAN, M.D. P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2009
|
593087159
|
2011-11-14
|
PAUL D. SOVRAN, M.D. P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-14 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-14 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2009
|
593087159
|
2011-11-15
|
PAUL D. SOVRAN, M.D. P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-15 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-15 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL D. SOVRAN, M.D. RETIREMENT PLAN
|
2009
|
593087159
|
2011-11-07
|
PAUL D. SOVRAN, M.D. P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4078473333
|
Plan sponsor’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741
|
Plan administrator’s name and address
Administrator’s EIN |
593087159 |
Plan administrator’s name |
PAUL D. SOVRAN, M.D. P.A. |
Plan administrator’s
address |
211 RUBY AVE., STE. A., KISSIMMEE, FL, 34741 |
Administrator’s telephone number |
4078473333 |
Signature of
Role |
Plan administrator |
Date |
2011-11-07 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-07 |
Name of individual signing |
PAUL SOVRAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|