ORLANDO DOMINGUEZ, D.M.D., P.A. PROFIT SHARING PLAN
|
2014
|
651082192
|
2015-01-26
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2015-01-26 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. DEFINED BENEFIT PLAN
|
2014
|
651082192
|
2015-01-26
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2015-01-26 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. DEFINED BENEFIT PLAN
|
2013
|
651082192
|
2014-09-04
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. PROFIT SHARING PLAN
|
2013
|
651082192
|
2014-09-04
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2014-09-04 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. DEFINED BENEFIT PLAN
|
2012
|
651082192
|
2013-10-03
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. PROFIT SHARING PLAN
|
2012
|
651082192
|
2013-10-03
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
RUSSELL SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. PROFIT SHARING PLAN
|
2011
|
651082192
|
2012-10-03
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
651082192 |
Plan administrator’s name |
ORLANDO DOMINGUEZ, D.M.D., P.A. |
Plan administrator’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143 |
Administrator’s telephone number |
3053862766 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
RUSSELL J. SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
651082192
|
2012-10-03
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
651082192 |
Plan administrator’s name |
ORLANDO DOMINGUEZ, DMD, PA |
Plan administrator’s
address |
6250 SW 69 AVENUE, MIAMI, FL, 33143 |
Administrator’s telephone number |
3053862766 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
RUSSELL J. SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. DEFINED BENEFIT PLAN
|
2010
|
651082192
|
2011-10-07
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
651082192 |
Plan administrator’s name |
ORLANDO DOMINGUEZ, DMD, PA |
Plan administrator’s
address |
6250 SW 69 AVENUE, MIAMI, FL, 33143 |
Administrator’s telephone number |
3053862766 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
RUSSELL J. SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORLANDO DOMINGUEZ, D.M.D., P.A. PROFIT SHARING PLAN
|
2010
|
651082192
|
2011-10-07
|
ORLANDO DOMINGUEZ, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3053862766
|
Plan sponsor’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143
|
Plan administrator’s name and address
Administrator’s EIN |
651082192 |
Plan administrator’s name |
ORLANDO DOMINGUEZ, D.M.D., P.A. |
Plan administrator’s
address |
6250 SW 69 AVENUE, SOUTH MIAMI, FL, 33143 |
Administrator’s telephone number |
3053862766 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
RUSSELL J. SNOW, EA, CPC, MSPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|