SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
592437157
|
2020-07-07
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8138174922
|
Plan sponsor’s
address |
3117 MOSSVALE LANE, TAMPA, FL, 33618
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
592437157
|
2020-05-15
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8138174922
|
Plan sponsor’s
address |
3117 MOSSVALE LANE, TAMPA, FL, 33618
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
3117 MOSSVALE LANE, TAMPA, FL, 33618 |
Administrator’s telephone number |
8138174922 |
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
592437157
|
2019-02-18
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2019-02-18 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
592437157
|
2018-06-18
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
592437157
|
2017-10-16
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
592437157
|
2016-10-07
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
592437157
|
2015-07-07
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
592437157
|
2014-06-10
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2014-06-10 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
592437157
|
2013-07-12
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Sponsor’s telephone number |
8139354145
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHARAD R. LAKDAWALA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592437157
|
2012-05-25
|
SHARAD R. LAKDAWALA, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1984-09-01
|
Business code |
621330
|
Plan sponsor’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614
|
Plan administrator’s name and address
Administrator’s EIN |
592437157 |
Plan administrator’s name |
SHARAD R. LAKDAWALA, M.D., P.A. |
Plan administrator’s
address |
2908 W WATERS AVE STE 101, TAMPA, FL, 33614 |
Administrator’s telephone number |
8139354145 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
SHARAD R. LAKDAWALA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|