CRITICAL CARE MEDICINE, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
274532983
|
2022-04-13
|
CRITICAL CARE MEDICINE LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3659 S MIAMI AVE, SUITE 5008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2022-04-13 |
Name of individual signing |
ADELE MOAS MOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
274532983
|
2021-06-02
|
CRITICAL CARE MEDICINE LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052058863
|
Plan sponsor’s
address |
8600 SW 92 STREET, SUITE 204-A, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2021-06-02 |
Name of individual signing |
ADELE MOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
274532983
|
2020-05-21
|
CRITICAL CARE MEDICINE LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052058863
|
Plan sponsor’s
address |
8600 SW 92 STREET, SUITE 204-A, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2020-05-21 |
Name of individual signing |
ADELE M MOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
274532983
|
2019-05-17
|
CRITICAL CARE MEDICINE LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
8600 SW 92ND STREET, SUITE 204-A, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2019-05-17 |
Name of individual signing |
RAUL MOAS, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
274532983
|
2018-08-27
|
CRITICAL CARE MEDICINE LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3659 S MIAMI AVE, SUITE 5008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2018-08-27 |
Name of individual signing |
ADELE MOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
274532983
|
2017-10-17
|
CRITICAL CARE MEDICINE LLC
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3661 S. MIAMI AVE, STE 1008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2017-10-17 |
Name of individual signing |
JAIME COHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
274532983
|
2016-08-11
|
CRITICAL CARE MEDICINE LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3661 S. MIAMI AVE, STE 1008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2016-08-11 |
Name of individual signing |
JAIME COHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
274532983
|
2015-07-30
|
CRITICAL CARE MEDICINE LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3661 S. MIAMI AVE, STE 1008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
JAIME COHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
274532983
|
2015-11-17
|
CRITICAL CARE MEDICINE LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3661 S. MIAMI AVE, STE 1008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2015-11-17 |
Name of individual signing |
JAIME COHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRITICAL CARE MEDICINE, LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
274532983
|
2013-07-26
|
CRITICAL CARE MEDICINE LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3058569103
|
Plan sponsor’s
address |
3661 S. MIAMI AVE, STE 1008, MIAMI, FL, 33133
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
CRITICAL CARE MEDICINE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|