EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2021
|
592268478
|
2022-10-24
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2022-10-24 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2020
|
592268478
|
2021-10-14
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2020
|
592268478
|
2021-10-14
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
17
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
521399
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2019
|
592268478
|
2020-10-15
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
521399
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2019
|
592268478
|
2020-07-29
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
17
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
521399
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2018
|
592268478
|
2019-09-11
|
HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
7875 NW 12TH ST STE 118, DORAL, FL, 331261815
|
Signature of
Role |
Plan administrator |
Date |
2019-09-11 |
Name of individual signing |
NICOLE MARRIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA
|
2016
|
592268478
|
2018-01-17
|
HEALTH COUNCIL OF SOUTH FLORIDA INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
8095 NW 12TH ST STE 300, DORAL, FL, 33126
|
Signature of
Role |
Plan administrator |
Date |
2018-01-17 |
Name of individual signing |
MARI PANTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2016
|
592268478
|
2017-07-20
|
HEALTH COUNCIL OF SOUTH FLORIDA,INC .
|
0
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
8095 NW 12TH ST STE 300, DORAL, FL, 33126
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-20 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2015
|
592268478
|
2016-06-22
|
HEALTH COUNCIL OF SOUTH FLORIDA INC
|
19
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
8095 NW 12TH ST STE 300, DORAL, FL, 331261844
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-22 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF HEALTH COUNCIL OF SOUTH FLORIDA, INC.
|
2015
|
592268478
|
2018-05-16
|
HEALTH COUNCIL OF SOUTH FLORIDA INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3055921452
|
Plan sponsor’s
address |
8095 NW 12TH ST STE 300, DORAL, FL, 33126
|
Signature of
Role |
Plan administrator |
Date |
2018-05-16 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-16 |
Name of individual signing |
MARISEL LOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|