SALIGRAMA BHAT, M.D., P.A. 401(K) PLAN & TRUST
|
2022
|
592569181
|
2023-07-29
|
SALIGRAMA BHAT, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2023-07-29 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2022
|
592569181
|
2024-01-29
|
SALIGRAMA BHAT, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2024-01-29 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2021
|
592569181
|
2023-02-15
|
SALIGRAMA BHAT, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2023-02-15 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, M.D., P.A. 401(K) PLAN & TRUST
|
2021
|
592569181
|
2023-01-27
|
SALIGRAMA BHAT, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2023-01-27 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, M.D., P.A. 401(K) PLAN & TRUST
|
2020
|
592569181
|
2021-10-11
|
SALIGRAMA BHAT, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Plan administrator’s name and address
Administrator’s EIN |
592569181 |
Plan administrator’s name |
SALIGRAMA BHAT, M.D., P.A. |
Plan administrator’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339525132 |
Administrator’s telephone number |
9416298006 |
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2020
|
592569181
|
2021-10-11
|
SALIGRAMA BHAT, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2019
|
592569181
|
2021-10-11
|
SALIGRAMA BHAT, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2019
|
592569181
|
2020-10-14
|
SALIGRAMA BHAT, M.D., P.A.
|
6
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, M.D., P.A. 401(K) PLAN & TRUST
|
2019
|
592569181
|
2020-10-14
|
SALIGRAMA BHAT, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339528112
|
Plan administrator’s name and address
Administrator’s EIN |
592569181 |
Plan administrator’s name |
SALIGRAMA BHAT, M.D., P.A. |
Plan administrator’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 339525132 |
Administrator’s telephone number |
9416298006 |
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SALIGRAMA BHAT, MD, PA CASH BALANCE PENSION PLAN AND TRUST
|
2018
|
592569181
|
2019-07-23
|
SALIGRAMA BHAT, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9416298006
|
Plan sponsor’s
address |
3410 TAMIAMI TRAIL, SUITE 2, PORT CHARLOTTE, FL, 33952
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
SALIGRAMA BHAT M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|