ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2021
|
592228612
|
2022-12-13
|
ANKEM RAVINDRA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2022-12-13 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2021
|
592228612
|
2022-10-24
|
ANKEM RAVINDRA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2022-10-24 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2021
|
592228612
|
2022-08-25
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2022-08-25 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2020
|
592228612
|
2021-10-11
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2020
|
592228612
|
2022-10-24
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2022-10-24 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2019
|
592228612
|
2020-09-15
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2020-09-15 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2018
|
592228612
|
2019-10-27
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2019-10-27 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2017
|
592228612
|
2019-04-11
|
ANKEM RAVINDRA, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2019-04-11 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2016
|
592228612
|
2017-12-13
|
ANKEM RAVINDRA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2017-12-13 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANKEM RAVINDRA, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2015
|
592228612
|
2017-02-13
|
ANKEM RAVINDRA, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
3867523400
|
Plan sponsor’s
address |
1740 U.S. 90 WEST, STE 1, LAKE CITY, FL, 32055
|
Signature of
Role |
Plan administrator |
Date |
2017-02-13 |
Name of individual signing |
ANKEM RAVINDRA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|