W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-28
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
PATRICIA MANUEL |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-15
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-03
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-22
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-22
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-22 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-15
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-15 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-15
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-02
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640639834
|
2010-09-02
|
W. J. MANUEL, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2287625445
|
Plan sponsor’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
|
Plan administrator’s name and address
Administrator’s EIN |
640639834 |
Plan administrator’s name |
W. J. MANUEL, M.D., P.A. |
Plan administrator’s
address |
4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561 |
Administrator’s telephone number |
2287625445 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
PATRICIA MANUEL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|