SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2023
|
010691514
|
2024-05-30
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
Signature of
Role |
Plan administrator |
Date |
2024-05-30 |
Name of individual signing |
DESIREE ZAMORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2022
|
010691514
|
2023-05-19
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
Signature of
Role |
Plan administrator |
Date |
2023-05-19 |
Name of individual signing |
DESIREE ZAMORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2021
|
010691514
|
2022-06-15
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
Signature of
Role |
Plan administrator |
Date |
2022-06-15 |
Name of individual signing |
DESIREE ZAMORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2020
|
010691514
|
2021-07-01
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
Signature of
Role |
Plan administrator |
Date |
2021-07-01 |
Name of individual signing |
DESIREE ZAMORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN
|
2020
|
010691514
|
2021-09-01
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
Signature of
Role |
Plan administrator |
Date |
2021-09-01 |
Name of individual signing |
DESIREE ZAMORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2019
|
010691514
|
2020-08-20
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
|
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN
|
2019
|
010691514
|
2020-10-14
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
|
SERGIO M. ZAMORA, M.D. CASH BALANCE PLAN
|
2018
|
010691514
|
2019-10-15
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2018
|
010691514
|
2019-09-19
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
|
SERGIO M. ZAMORA, M.D. 401(K) PLAN
|
2017
|
010691514
|
2018-06-21
|
SERGIO M. ZAMORA, M.D., PLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3862745557
|
Plan sponsor’s
address |
1890 LPGA BLVD., SUITE 150, DAYTONA BEACH, FL, 32117
|
|