NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2015
|
651102146
|
2016-10-11
|
NIKHIL BHARDWAJ, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2014
|
651102146
|
2015-09-18
|
NIKHIL BHARDWAJ, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2015-09-18 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2013
|
651102146
|
2014-08-01
|
NIKHIL BHARDWAJ, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2014-08-01 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2013
|
651102146
|
2014-10-21
|
NIKHIL BHARDWAJ, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2014-10-21 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2012
|
651102146
|
2013-09-06
|
NIKHIL BHARDWAJ, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Signature of
Role |
Plan administrator |
Date |
2013-09-05 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-05 |
Name of individual signing |
NIKHIL BHARDWAJ. M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2011
|
651102146
|
2012-10-12
|
NIKHIL BHARDWAJ, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Plan administrator’s name and address
Administrator’s EIN |
651102146 |
Plan administrator’s name |
NIKHIL BHARDWAJ, M.D., P.A. |
Plan administrator’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180 |
Administrator’s telephone number |
3059322552 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
NIKHIL BHARDWAJ, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2010
|
651102146
|
2011-07-25
|
NIKHIL BHARDWAJ, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Plan administrator’s name and address
Administrator’s EIN |
651102146 |
Plan administrator’s name |
NIKHIL BHARDWAJ, M.D., P.A. |
Plan administrator’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180 |
Administrator’s telephone number |
3059322552 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
DR. NIKHIL BHARDWAJ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2010
|
651102146
|
2012-04-11
|
NIKHIL BHARDWAJ, M.D., P.A.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Plan administrator’s name and address
Administrator’s EIN |
651102146 |
Plan administrator’s name |
NIKHIL BHARDWAJ, M.D., P.A. |
Plan administrator’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180 |
Administrator’s telephone number |
3059322552 |
Signature of
Role |
Plan administrator |
Date |
2012-04-11 |
Name of individual signing |
DR. NIKHIL BHARDWAJ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
NIKHIL BHARDWAJ, M.D., P.A. DEFINED BENEFIT PLAN
|
2010
|
651102146
|
2012-04-16
|
NIKHIL BHARDWAJ, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3059322552
|
Plan sponsor’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180
|
Plan administrator’s name and address
Administrator’s EIN |
651102146 |
Plan administrator’s name |
NIKHIL BHARDWAJ, M.D., P.A. |
Plan administrator’s
address |
21355 E. DIXIE HIGHWAY, SUITE 102, AVENTURA, FL, 33180 |
Administrator’s telephone number |
3059322552 |
Signature of
Role |
Plan administrator |
Date |
2012-04-16 |
Name of individual signing |
DR. NIKHIL BHARDWAJ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|