HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2019
|
650121399
|
2020-01-23
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2020-01-23 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-23 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2018
|
650121399
|
2019-05-24
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2019-05-24 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-24 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2017
|
650121399
|
2018-04-12
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2018-04-12 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-12 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2016
|
650121399
|
2017-04-21
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2017-04-21 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-21 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
650121399
|
2016-06-10
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2016-06-10 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-10 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
650121399
|
2015-09-22
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-22 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2013
|
650121399
|
2014-04-03
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2014-04-03 |
Name of individual signing |
HOWARD N. SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-03 |
Name of individual signing |
HOWARD N. SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2012
|
650121399
|
2013-05-06
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-06 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2011
|
650121399
|
2012-06-25
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Plan administrator’s name and address
Administrator’s EIN |
650121399 |
Plan administrator’s name |
HOWARD N. SABARRA, M.D., P.A. |
Plan administrator’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461 |
Administrator’s telephone number |
5616425300 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-25 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOWARD N. SABARRA, M.D., P.A., 401(K) PROFIT SHARING PLAN
|
2010
|
650121399
|
2011-09-16
|
HOWARD N. SABARRA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5616425300
|
Plan sponsor’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461
|
Plan administrator’s name and address
Administrator’s EIN |
650121399 |
Plan administrator’s name |
HOWARD N. SABARRA, M.D., P.A. |
Plan administrator’s
address |
3199 LAKE WORTH ROAD, B-1, LAKE WORTH, FL, 33461 |
Administrator’s telephone number |
5616425300 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-16 |
Name of individual signing |
HOWARD SABARRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|