F. MATUK, M.D., P.A. 401K PLAN
|
2021
|
592980431
|
2022-03-18
|
F. MATUK, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2022-03-18 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2020
|
592980431
|
2021-09-27
|
F. MATUK, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2019
|
592980431
|
2020-06-22
|
F. MATUK, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2018
|
592980431
|
2019-08-27
|
F. MATUK, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2019-08-27 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2017
|
592980431
|
2018-08-17
|
F. MATUK, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2018-08-17 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2016
|
592980431
|
2017-07-18
|
F. MATUK, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2015
|
592980431
|
2016-08-02
|
F. MATUK, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2016-08-02 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2014
|
592980431
|
2015-05-26
|
F. MATUK, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2015-05-26 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2013
|
592980431
|
2014-07-25
|
F. MATUK, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
F. MATUK, M.D., P.A. 401K PLAN
|
2012
|
592980431
|
2013-07-03
|
F. MATUK, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3217527001
|
Plan sponsor’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689
|
Plan administrator’s name and address
Administrator’s EIN |
592980431 |
Plan administrator’s name |
F. MATUK, M.D., P.A. |
Plan administrator’s
address |
32 SUNTREE PLACE, MELBOURNE, FL, 329407689 |
Administrator’s telephone number |
3217527001 |
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
FAIRUZ MATUK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|