JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2015
|
651018758
|
2016-04-14
|
JOSE R. ROVIRA M.D. P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
12921 SW 72ND AVENUE, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2016-04-14 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2014
|
651018758
|
2015-03-19
|
JOSE R. ROVIRA M.D. P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
12921 SW 72ND AVENUE, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2015-03-19 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2013
|
651018758
|
2014-04-07
|
JOSE R. ROVIRA M.D. P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2014-04-07 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2012
|
651018758
|
2013-04-01
|
JOSE R. ROVIRA M.D. P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Signature of
Role |
Plan administrator |
Date |
2013-04-01 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2011
|
651018758
|
2012-05-03
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2010
|
651018758
|
2011-04-17
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2011-03-12 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-17 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2010
|
651018758
|
2011-05-04
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2011-05-04 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2010
|
651018758
|
2011-04-17
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2011-03-12 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-17 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2010
|
651018758
|
2011-03-12
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2011-03-12 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JOSE R. ROVIRA M.D. P.A. 401 K PLAN
|
2009
|
651018758
|
2010-05-19
|
JOSE R. ROVIRA M.D. P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3055525354
|
Plan sponsor’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175
|
Plan administrator’s name and address
Administrator’s EIN |
651018758 |
Plan administrator’s name |
JOSE R. ROVIRA M.D. P.A. |
Plan administrator’s
address |
11760 S.W. 40TH STREET STE 646, MIAMI, FL, 33175 |
Administrator’s telephone number |
3055525354 |
Signature of
Role |
Plan administrator |
Date |
2010-05-19 |
Name of individual signing |
JOSE R. ROVIRA M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|