|
HEALTH FORMULA 401K PLAN
|
2013
|
200284080
|
2014-09-30
|
HEALTH FORMULA
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
446120
|
| Sponsor’s telephone number |
9549215591
|
| Plan sponsor’s
address |
3912 N 29 AVE, HOLLYWOOD, FL, 33020
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-30 |
| Name of individual signing |
JORGE BALASQUIDE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-30 |
| Name of individual signing |
JORGE BALASQUIDE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH FORMULA 401K PLAN
|
2011
|
200284080
|
2012-07-26
|
HEALTH FORMULA
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
446120
|
| Sponsor’s telephone number |
9549215591
|
| Plan sponsor’s
address |
3325 GRIFFIN ROAD, SUITE E-285, FORT LAUDERDALE, FL, 33312
|
Plan administrator’s name and address
| Administrator’s EIN |
200284080 |
| Plan administrator’s name |
HEALTH FORMULA |
| Plan administrator’s
address |
3325 GRIFFIN ROAD, SUITE E-285, FORT LAUDERDALE, FL, 33312 |
| Administrator’s telephone number |
9549215591 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
JORGE BAIASQUIDE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HEALTH FORMULA 401K PLAN
|
2010
|
200284080
|
2011-07-29
|
HEALTH FORMULA
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
446120
|
| Sponsor’s telephone number |
9549215591
|
| Plan sponsor’s
address |
3325 GRIFFIN ROAD, SUITE E-285, FORT LAUDERDALE, FL, 33312
|
Plan administrator’s name and address
| Administrator’s EIN |
200284080 |
| Plan administrator’s name |
HEALTH FORMULA |
| Plan administrator’s
address |
3325 GRIFFIN ROAD, SUITE E-285, FORT LAUDERDALE, FL, 33312 |
| Administrator’s telephone number |
9549215591 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
JORGE BAIASQUIDE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
