SREENIVASA R ALLA MD 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
651047633
|
2024-04-12
|
SREENIVASA R ALLA MD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2024-04-12 |
Name of individual signing |
DR. SREENIVASA ALLA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
651047633
|
2023-04-19
|
SREENIVASA R ALLA MD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
DR. SREENIVASA RAO ALLA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
651047633
|
2022-05-11
|
SREENIVASA R ALLA MD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2022-05-11 |
Name of individual signing |
SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
651047633
|
2021-05-03
|
SREENIVASA R ALLA MD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2021-05-03 |
Name of individual signing |
SREENIVASA R ALLA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
651047633
|
2020-05-22
|
SREENIVASA R ALLA MD
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2020-05-22 |
Name of individual signing |
DR SREENIVASA R ALLA MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401 K PROFIT SHARING PLAN TRUST
|
2018
|
651047633
|
2019-04-24
|
SREENIVASA R ALLA MD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2019-04-24 |
Name of individual signing |
SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401 K PROFIT SHARING PLAN TRUST
|
2017
|
651047633
|
2018-06-13
|
SREENIVASA R ALLA MD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2018-06-13 |
Name of individual signing |
SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401 K PROFIT SHARING PLAN TRUST
|
2016
|
651047633
|
2017-06-30
|
SREENIVASA R ALLA MD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2017-06-30 |
Name of individual signing |
DR SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401 K PROFIT SHARING PLAN TRUST
|
2015
|
651047633
|
2016-07-01
|
SREENIVASA R ALLA MD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2016-07-01 |
Name of individual signing |
DR SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SREENIVASA R ALLA MD 401 K PROFIT SHARING PLAN TRUST
|
2014
|
651047633
|
2015-07-06
|
SREENIVASA R ALLA MD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7723379517
|
Plan sponsor’s
address |
1801 SE HILLMOOR DR STE C-105, PORT SAINT LUCIE, FL, 349527551
|
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
DR SREENIVASA ALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|