|
R. K. KADIYALA, M.D., P.L. 401(K) PROFIT SHARING PLAN
|
2012
|
208801945
|
2013-10-15
|
R. K. KADIYALA, M.D., P.L.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3056951290
|
| Plan sponsor’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
R. K. KADIYALA, M.D., P.L. 401(K) PROFIT SHARING PLAN
|
2011
|
208801945
|
2012-10-15
|
R. K. KADIYALA, M.D., P.L.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3056951290
|
| Plan sponsor’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866
|
Plan administrator’s name and address
| Administrator’s EIN |
208801945 |
| Plan administrator’s name |
R. K. KADIYALA, M.D., P.L. |
| Plan administrator’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866 |
| Administrator’s telephone number |
3056951290 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
JANESIS DIAZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
R. K. KADIYALA, M.D., P.L. 401(K) PROFIT SHARING PLAN
|
2010
|
208801945
|
2011-10-17
|
R. K. KADIYALA, M.D., P.L.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3056951290
|
| Plan sponsor’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866
|
Plan administrator’s name and address
| Administrator’s EIN |
208801945 |
| Plan administrator’s name |
R. K. KADIYALA, M.D., P.L. |
| Plan administrator’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866 |
| Administrator’s telephone number |
3056951290 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
R. K. KADIYALA, M.D., P.L. 401(K) PROFIT SHARING PLAN
|
2009
|
208801945
|
2010-10-13
|
R. K. KADIYALA, M.D., P.L.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3056951290
|
| Plan sponsor’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866
|
Plan administrator’s name and address
| Administrator’s EIN |
208801945 |
| Plan administrator’s name |
R. K. KADIYALA, M.D., P.L. |
| Plan administrator’s
address |
P. O. BOX 402866, MIAMI BEACH, FL, 331402866 |
| Administrator’s telephone number |
3056951290 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
