TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2019
|
522375894
|
2020-10-15
|
TODD D. GOLDBERG, D.C., P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
12551 SW 16TH #401-C, PEMBROKE PINES, FL, 33027
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2018
|
522375894
|
2019-10-11
|
TODD D. GOLDBERG, D.C., P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
12551 SW 16TH #401-C, PEMBROKE PINES, FL, 33027
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
TODD D. GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-11 |
Name of individual signing |
TODD D. GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2017
|
522375894
|
2018-10-04
|
TODD D. GOLDBERG, D.C., P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
2126 NORTH FLAMINGO ROAD, MIRAMAR, FL, 33028
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-04 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2016
|
522375894
|
2017-11-01
|
TODD D. GOLDBERG, D.C., P.A.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Signature of
Role |
Plan administrator |
Date |
2017-11-01 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-01 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
522375894
|
2016-10-14
|
TODD D. GOLDBERG, D.C., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
TODD GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
522375894
|
2015-10-14
|
TODD D. GOLDBERG, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2013
|
522375894
|
2014-10-01
|
TODD D. GOLDBERG, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-01 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2012
|
522375894
|
2013-10-14
|
TODD D. GOLDBERG, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
TODD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2011
|
522375894
|
2012-09-14
|
TODD D. GOLDBERG, D.C., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Plan administrator’s name and address
Administrator’s EIN |
522375894 |
Plan administrator’s name |
TODD D. GOLDBERG, D.C., P.A. |
Plan administrator’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026 |
Administrator’s telephone number |
9544376660 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
TOOD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-14 |
Name of individual signing |
TOOD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TODD D. GOLDBERG, D.C., P.A., 401(K) PROFIT SHARING PLAN
|
2011
|
522375894
|
2012-09-14
|
TODD D. GOLDBERG, D.C., P.A.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
9544376660
|
Plan sponsor’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026
|
Plan administrator’s name and address
Administrator’s EIN |
522375894 |
Plan administrator’s name |
TODD D. GOLDBERG, D.C., P.A. |
Plan administrator’s
address |
19315 S.W. 24TH STREET, MIRAMAR, FL, 33026 |
Administrator’s telephone number |
9544376660 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
TOOD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-14 |
Name of individual signing |
TOOD D GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|