PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2020
|
591551473
|
2021-08-25
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2021-08-25 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2019
|
591551473
|
2020-07-23
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2018
|
591551473
|
2019-07-30
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2017
|
591551473
|
2018-09-26
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2016
|
591551473
|
2017-09-05
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2017-09-05 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2015
|
591551473
|
2016-09-15
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2014
|
591551473
|
2015-08-27
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2015-08-27 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2013
|
591551473
|
2014-09-15
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
591551473 |
Plan administrator’s name |
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A. |
Plan administrator’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143 |
Administrator’s telephone number |
3056656575 |
Signature of
Role |
Plan administrator |
Date |
2014-09-15 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERIODONTAL SOLUTIONS OF S.FL., P.A. 401(K) PLAN
|
2012
|
591551473
|
2013-09-12
|
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1987-07-01
|
Business code |
621210
|
Sponsor’s telephone number |
3056656575
|
Plan sponsor’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
591551473 |
Plan administrator’s name |
PERIODONTAL SOLUTIONS OF SOUTH FLORIDA, P.A. |
Plan administrator’s
address |
7600 RED ROAD, SUITE 216, MIAMI, FL, 33143 |
Administrator’s telephone number |
3056656575 |
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
JORGE RAMIREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|