LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2023
|
204100937
|
2024-06-24
|
LUIS J FORNARIS DMD PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2022
|
204100937
|
2023-09-05
|
LUIS J FORNARIS DMD PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2023-09-05 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2021
|
204100937
|
2022-06-20
|
LUIS J FORNARIS DMD PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2022-06-20 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2020
|
204100937
|
2021-06-11
|
LUIS J FORNARIS DMD PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2021-06-11 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-11 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2019
|
204100937
|
2020-07-27
|
LUIS J FORNARIS DMD PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
LUIS J FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
LUIS FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2018
|
204100937
|
2019-10-03
|
LUIS J FORNARIS DMD PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
LUIS J FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-03 |
Name of individual signing |
ROXANA FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUIS J FORNARIS DMD PLLC 401(K) PLAN
|
2017
|
204100937
|
2018-10-09
|
LUIS J FORNARIS DMD PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3052236722
|
Plan sponsor’s
address |
14227 SW 42 STREET, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2018-10-09 |
Name of individual signing |
LUIS J FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-09 |
Name of individual signing |
LUIS FORNARIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|