BRIEN E. PIERPONT, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2018
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593137304
|
2019-03-05
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BRIEN E. PIERPONT, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
|
BRIEN E. PIERPONT, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2017
|
593137304
|
2018-05-11
|
BRIEN E. PIERPONT, M. D. , P. A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
|
BRIEN E. PIERPONT, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2016
|
593137304
|
2018-01-29
|
BRIEN E. PIERPONT, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
|
BRIEN E. PIERPONT, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2015
|
593137304
|
2016-10-14
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BRIEN E. PIERPONT, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
STEPHEN EVERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2014
|
593137304
|
2015-09-28
|
BRIEN E. PIERPONT, M. D. , P. A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Signature of
Role |
Plan administrator |
Date |
2015-09-28 |
Name of individual signing |
DR. BRIEN PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593137304
|
2014-09-04
|
BRIEN E. PIERPONT, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
BRIEN E. PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593137304
|
2013-10-03
|
BRIEN E. PIERPONT, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
BRIEN E. PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593137304
|
2012-09-27
|
BRIEN E. PIERPONT, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Plan administrator’s name and address
Administrator’s EIN |
593137304 |
Plan administrator’s name |
BRIEN E. PIERPONT, M.D., P.A. |
Plan administrator’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852 |
Administrator’s telephone number |
7273217721 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
BRIEN E. PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593137304
|
2011-10-06
|
BRIEN E. PIERPONT, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Plan administrator’s name and address
Administrator’s EIN |
593137304 |
Plan administrator’s name |
BRIEN E. PIERPONT, M.D., P.A. |
Plan administrator’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852 |
Administrator’s telephone number |
7273217721 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
BRIEN E. PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIEN E. PIERPONT, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593137304
|
2010-09-28
|
BRIEN E. PIERPONT, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273217721
|
Plan sponsor’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852
|
Plan administrator’s name and address
Administrator’s EIN |
593137304 |
Plan administrator’s name |
BRIEN E. PIERPONT, M.D., P.A. |
Plan administrator’s
address |
2299 9TH AVENUE NORTH, SUITE 3C, ST. PETERSBURG, FL, 337136852 |
Administrator’s telephone number |
7273217721 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
BRIEN E. PIERPONT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|