PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2015
|
201738599
|
2018-03-22
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Signature of
Role |
Plan administrator |
Date |
2018-03-22 |
Name of individual signing |
PAMELA LYNN GARJIAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2014
|
201738599
|
2015-07-13
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Signature of
Role |
Plan administrator |
Date |
2015-07-13 |
Name of individual signing |
PAMELA LYNN GARJIAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2014
|
201738599
|
2015-07-13
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
5
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Signature of
Role |
Plan administrator |
Date |
2015-07-13 |
Name of individual signing |
PAMELA LYNN GARJIAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2013
|
201738599
|
2014-07-11
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
REBECCA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2012
|
201738599
|
2013-06-28
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2011
|
201738599
|
2012-10-12
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Plan administrator’s name and address
Administrator’s EIN |
201738599 |
Plan administrator’s name |
PAMELA LYNN GARJIAN, M.D., P.A. |
Plan administrator’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060 |
Administrator’s telephone number |
3056691115 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
JANESIS DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401(K) PLAN
|
2010
|
201738599
|
2011-03-31
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Plan administrator’s name and address
Administrator’s EIN |
201738599 |
Plan administrator’s name |
PAMELA LYNN GARJIAN, M.D., P.A. |
Plan administrator’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060 |
Administrator’s telephone number |
3056691115 |
Signature of
Role |
Plan administrator |
Date |
2011-03-31 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAMELA LYNN GARJIAN, M.D., P.A. 401K PLAN
|
2009
|
201738599
|
2010-04-16
|
PAMELA LYNN GARJIAN, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056691115
|
Plan sponsor’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060
|
Plan administrator’s name and address
Administrator’s EIN |
201738599 |
Plan administrator’s name |
PAMELA LYNN GARJIAN, M.D., P.A. |
Plan administrator’s
address |
9130 S.W. 92ND COURT, MIAMI, FL, 331762060 |
Administrator’s telephone number |
3056691115 |
Signature of
Role |
Plan administrator |
Date |
2010-04-16 |
Name of individual signing |
PAMELA LYNN GARJIAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-16 |
Name of individual signing |
PAMELA LYNN GARJIAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|