UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
592666287
|
2015-05-21
|
UDITA JAHAGIRDAR, M.D., P.A.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-05-20 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-20 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
592666287
|
2014-05-19
|
UDITA JAHAGIRDAR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-05-19 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-19 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
592666287
|
2013-06-14
|
UDITA JAHAGIRDAR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-13 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-13 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
592666287
|
2012-06-05
|
UDITA JAHAGIRDAR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
6 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-03 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
592666287
|
2011-06-18
|
UDITA JAHAGIRDAR, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
6 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UDITA JAHAGIRDAR,M.D.,P.A. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
592666287
|
2010-06-09
|
UDITA JAHAGIRDAR, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4073214560
|
Plan sponsor’s mailing address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan sponsor’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098
|
Plan administrator’s name and address
Administrator’s EIN |
592666287 |
Plan administrator’s name |
UDITA JAHAGIRDAR, M.D., P.A. |
Plan administrator’s
address |
319 N. MANGOUSTINE AVE., SANFORD, FL, 327711098 |
Administrator’s telephone number |
4073214560 |
Number of participants as of the end of the plan year
Active participants |
6 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-09 |
Name of individual signing |
UDITA JAHAGIRDAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|