|
CARLOS J. LAVERNIA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
030419464
|
2020-02-11
|
CARLOS J. LAVERNIA, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
P.O. BOX 141028, MIAMI, FL, 33114
|
|
|
CARLOS J. LAVERNIA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
030419464
|
2020-06-17
|
CARLOS J. LAVERNIA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
P.O. BOX 141028, MIAMI, FL, 33114
|
|
|
CARLOS J. LAVERNIA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
030419464
|
2019-06-27
|
CARLOS J. LAVERNIA, M.D., P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
P.O. BOX 141028, MIAMI, FL, 33114
|
|
|
CARLOS J. LAVERNIA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
030419464
|
2018-02-08
|
CARLOS J. LAVERNIA, M.D., P.A.
|
2
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
P. O. BOX 141028, MIAMI, FL, 33114
|
|
|
CARLOS J. LAVERNIA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
030419464
|
2018-08-24
|
CARLOS J. LAVERNIA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2012-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
P.O. BOX 141028, MIAMI, FL, 33114
|
Signature of
| Role |
Plan administrator |
| Date |
2018-08-24 |
| Name of individual signing |
CARLOS J. LAVERNIA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLOS J. LAVERNIA, M.D., P.A. DEFINED BENEFIT PLAN
|
2009
|
030419464
|
2011-04-26
|
CARLOS J. LAVERNIA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-12-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
3052855085
|
| Plan sponsor’s
address |
320 DOLIAS COURT, CORAL GABLES, FL, 331436559
|
Plan administrator’s name and address
| Administrator’s EIN |
030419464 |
| Plan administrator’s name |
CARLOS J. LAVERNIA, M.D., P.A. |
| Plan administrator’s
address |
320 DOLIAS COURT, CORAL GABLES, FL, 331436559 |
| Administrator’s telephone number |
3052855085 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-26 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
