|
HUGO C. NIEVAS, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
640652477
|
2012-07-25
|
HUGO C. NIEVAS, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2288630314
|
| Plan sponsor’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501
|
Plan administrator’s name and address
| Administrator’s EIN |
640652477 |
| Plan administrator’s name |
HUGO C. NIEVAS, M.D., P.A. |
| Plan administrator’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501 |
| Administrator’s telephone number |
2288630314 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-25 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-25 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HUGO C. NIEVAS, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
640652477
|
2011-06-10
|
HUGO C. NIEVAS, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2288630314
|
| Plan sponsor’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501
|
Plan administrator’s name and address
| Administrator’s EIN |
640652477 |
| Plan administrator’s name |
HUGO C. NIEVAS, M.D., P.A. |
| Plan administrator’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501 |
| Administrator’s telephone number |
2288630314 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-10 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-10 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HUGO C. NIEVAS, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
640652477
|
2010-09-10
|
HUGO C. NIEVAS, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1981-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2288630314
|
| Plan sponsor’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501
|
Plan administrator’s name and address
| Administrator’s EIN |
640652477 |
| Plan administrator’s name |
HUGO C. NIEVAS, M.D., P.A. |
| Plan administrator’s
address |
1017 - 44TH AVENUE, GULFPORT, MS, 39501 |
| Administrator’s telephone number |
2288630314 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-10 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-10 |
| Name of individual signing |
HUGO C. NIEVAS, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
