|
DORA E. RODRIGUEZ DMD, PA
|
2021
|
202775497
|
2022-06-23
|
DORA E. RODRIGUEZ, DMD, PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9546290153
|
| Plan sponsor’s
address |
9449 SHERIDIAN STREET, SUITE B, COOPER CITY, FL, 33024
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-23 |
| Name of individual signing |
DORA RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DORA E. RODRIGUEZ DMD, PA
|
2021
|
202775497
|
2022-10-20
|
DORA E. RODRIGUEZ, DMD, PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9546290153
|
| Plan sponsor’s
address |
9449 SHERIDIAN STREET, SUITE B, COOPER CITY, FL, 33024
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-20 |
| Name of individual signing |
DORA RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DORA E. RODRIGUEZ DMD, PA
|
2020
|
202775497
|
2021-07-23
|
DORA E. RODRIGUEZ, DMD, PA
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9546290153
|
| Plan sponsor’s
address |
9449 SHERIDIAN STREET, SUITE B, COOPER CITY, FL, 33024
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-23 |
| Name of individual signing |
DORA RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DORA E. RODRIGUEZ DMD, PA
|
2019
|
202775497
|
2020-11-03
|
DORA E. RODRIGUEZ, DMD, PA
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9544313025
|
| Plan sponsor’s
address |
9449 SHERIDAN ST, SUITE B, COOPER CITY, FL, 33024
|
Signature of
| Role |
Plan administrator |
| Date |
2020-11-03 |
| Name of individual signing |
DORA RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DORA E. RODRIGUEZ DMD, PA
|
2019
|
202775497
|
2020-11-10
|
DORA E. RODRIGUEZ, DMD, PA
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-03-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9544313025
|
| Plan sponsor’s
address |
9449 SHERIDAN ST, SUITE B, COOPER CITY, FL, 33024
|
Signature of
| Role |
Plan administrator |
| Date |
2020-11-10 |
| Name of individual signing |
DORA RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
