DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
591271554
|
2023-05-18
|
DR. RAFAEL R. PORTELA, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2023-05-18 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
591271554
|
2022-07-12
|
DR. RAFAEL R. PORTELA, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
591271554
|
2020-12-09
|
DR. RAFAEL R. PORTELA, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2020-12-09 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
591271554
|
2020-07-09
|
DR. RAFAEL R. PORTELA, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
591271554
|
2018-10-25
|
DR. RAFAEL R. PORTELA, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2018-10-25 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
591271554
|
2017-11-13
|
DR. RAFAEL R. PORTELA, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Signature of
Role |
Plan administrator |
Date |
2017-11-13 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
591271554
|
2017-03-08
|
DR. RAFAEL R. PORTELA, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009
|
Plan administrator’s name and address
Administrator’s EIN |
591271554 |
Plan administrator’s name |
DR. RAFAEL R. PORTELA, P.A. |
Plan administrator’s
address |
3100 SW 62ND AVE STE 124, MIAMI, FL, 331553009 |
Administrator’s telephone number |
3056697144 |
Signature of
Role |
Plan administrator |
Date |
2017-03-08 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
591271554
|
2016-05-02
|
DR. RAFAEL R. PORTELA, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155
|
Plan administrator’s name and address
Administrator’s EIN |
591271554 |
Plan administrator’s name |
DR. RAFAEL R. PORTELA, P.A. |
Plan administrator’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155 |
Administrator’s telephone number |
3056697144 |
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
591271554
|
2015-04-29
|
DR. RAFAEL R. PORTELA, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155
|
Plan administrator’s name and address
Administrator’s EIN |
591271554 |
Plan administrator’s name |
DR. RAFAEL R. PORTELA, P.A. |
Plan administrator’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155 |
Administrator’s telephone number |
3056697144 |
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. RAFAEL R. PORTELA, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
591271554
|
2014-02-25
|
DR. RAFAEL R. PORTELA, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1992-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056697144
|
Plan sponsor’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155
|
Plan administrator’s name and address
Administrator’s EIN |
591271554 |
Plan administrator’s name |
DR. RAFAEL R. PORTELA, P.A. |
Plan administrator’s
address |
3100 SW 62 AVENUE, SUITE 124, MIAMI, FL, 33155 |
Administrator’s telephone number |
3056697144 |
Signature of
Role |
Plan administrator |
Date |
2014-02-25 |
Name of individual signing |
RAFAEL PORTELA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|