J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2017
|
650981177
|
2018-08-23
|
J.M. JULIEN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
6619 SOUTH DIXIE HIGHWAY, SUITE 272, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2018-08-23 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
650981177
|
2017-07-19
|
J.M. JULIEN, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
6619 SOUTH DIXIE HIGHWAY, SUITE 272, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650981177
|
2016-07-06
|
J.M. JULIEN, M.D., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650981177
|
2016-07-06
|
J.M. JULIEN, M.D., P.A.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
650981177
|
2015-10-12
|
J.M. JULIEN, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
650981177
|
2014-06-18
|
J.M. JULIEN, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2014-06-18 |
Name of individual signing |
REBECCA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
650981177
|
2013-08-12
|
J.M. JULIEN, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2013-08-12 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650981177
|
2012-07-24
|
J.M. JULIEN, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156
|
Plan administrator’s name and address
Administrator’s EIN |
650981177 |
Plan administrator’s name |
J.M. JULIEN, M.D., P.A. |
Plan administrator’s
address |
8950 SW 74TH CT., SUITE 1408, MIAMI, FL, 33156 |
Administrator’s telephone number |
3052747878 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2010
|
650981177
|
2011-07-25
|
J.M. JULIEN, M.D., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
10095 N. KENDALL DRIVE, SUITE 103, MIAMI, FL, 331761797
|
Plan administrator’s name and address
Administrator’s EIN |
650981177 |
Plan administrator’s name |
J.M. JULIEN, M.D., P.A. |
Plan administrator’s
address |
10095 N. KENDALL DRIVE, SUITE 103, MIAMI, FL, 331761797 |
Administrator’s telephone number |
3052747878 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J.M. JULIEN, M.D., P.A. PROFIT SHARING PLAN
|
2009
|
650981177
|
2010-05-12
|
J.M. JULIEN, M.D., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052747878
|
Plan sponsor’s
address |
10095 N. KENDALL DRIVE, SUITE 103, MIAMI, FL, 331761797
|
Plan administrator’s name and address
Administrator’s EIN |
650981177 |
Plan administrator’s name |
J.M. JULIEN, M.D., P.A. |
Plan administrator’s
address |
10095 N. KENDALL DRIVE, SUITE 103, MIAMI, FL, 331761797 |
Administrator’s telephone number |
3052747878 |
Signature of
Role |
Plan administrator |
Date |
2010-05-12 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-12 |
Name of individual signing |
JUANA M. JULIEN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|