|
ALBERTO A. AYALA, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2013
|
592450853
|
2014-05-05
|
ALBERTO A. AYALA, M.D. P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-02-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
3055736640
|
| Plan sponsor’s
address |
C/O ISAAC MATZ, P.A., C.P.A., 2742 BISCAYNE BLVD., MIAMI, FL, 33137
|
Signature of
| Role |
Plan administrator |
| Date |
2014-05-05 |
| Name of individual signing |
REBECCA TORRES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBERTO A. AYALA, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2012
|
592450853
|
2013-08-26
|
ALBERTO A. AYALA, M.D. P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-02-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
3055736640
|
| Plan sponsor’s mailing address |
C/O ISAAC MATZ, P.A., C.P.A., 2742 BISCAYNE BLVD., MIAMI, FL, 33137
|
| Plan sponsor’s
address |
C/O ISAAC MATZ, P.A., C.P.A., 2742 BISCAYNE BLVD., MIAMI, FL, 33137
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-26 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBERTO A. AYALA, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2011
|
592450853
|
2012-07-09
|
ALBERTO A. AYALA, M.D. P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-02-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
3052851431
|
| Plan sponsor’s mailing address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
| Plan sponsor’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
Plan administrator’s name and address
| Administrator’s EIN |
592450853 |
| Plan administrator’s name |
ALBERTO A. AYALA, M.D. P.A. |
| Plan administrator’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640 |
| Administrator’s telephone number |
3052851431 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-09 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBERTO A. AYALA, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2010
|
592450853
|
2011-09-16
|
ALBERTO A. AYALA, M.D. P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-02-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
3052851431
|
| Plan sponsor’s mailing address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
| Plan sponsor’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
Plan administrator’s name and address
| Administrator’s EIN |
592450853 |
| Plan administrator’s name |
ALBERTO A. AYALA, M.D. P.A. |
| Plan administrator’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640 |
| Administrator’s telephone number |
3052851431 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-16 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALBERTO A. AYALA, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2009
|
592450853
|
2010-08-09
|
ALBERTO A. AYALA, M.D. P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-02-01
|
| Business code |
621112
|
| Sponsor’s telephone number |
3052851431
|
| Plan sponsor’s mailing address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
| Plan sponsor’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640
|
Plan administrator’s name and address
| Administrator’s EIN |
592450853 |
| Plan administrator’s name |
ALBERTO A. AYALA, M.D. P.A. |
| Plan administrator’s
address |
1900 CORAL WAY, SUITE 401, CORAL GABLES, FL, 331452640 |
| Administrator’s telephone number |
3052851431 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-09 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
