KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2023
|
043585785
|
2024-07-10
|
KENNETH B. SHEPHARD, M.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2024-07-10 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. 401(K) PLAN
|
2023
|
043585785
|
2024-06-24
|
KENNETH B. SHEPHARD, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE,, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2022
|
043585785
|
2023-10-03
|
KENNETH B. SHEPHARD, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. 401(K) PLAN
|
2022
|
043585785
|
2023-08-24
|
KENNETH B. SHEPHARD, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2023-08-24 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. 401(K) PLAN
|
2021
|
043585785
|
2022-06-27
|
KENNETH B. SHEPHARD, M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2022-06-27 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2021
|
043585785
|
2022-10-17
|
KENNETH B. SHEPHARD, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2020
|
043585785
|
2021-03-09
|
KENNETH B. SHEPHARD, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2021-03-09 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2019
|
043585785
|
2020-08-14
|
KENNETH B. SHEPHARD, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2018
|
043585785
|
2019-04-22
|
KENNETH B. SHEPHARD, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2019-04-22 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNETH B. SHEPHARD, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2017
|
043585785
|
2018-08-28
|
KENNETH B. SHEPHARD, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052731919
|
Plan sponsor’s
address |
8501 SW 124TH AVENUE, SUITE 206, MIAMI, FL, 33183
|
Signature of
Role |
Plan administrator |
Date |
2018-08-28 |
Name of individual signing |
KENNETH B. SHEPHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|