|
AMORES DENTAL CARE, P.A. GHT BENEFIT PLAN
|
2022
|
204419171
|
2024-01-30
|
AMORES DENTAL CARE, P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3054017118
|
| Plan sponsor’s
address |
13617 S DIXIE HWY, MIAMI, FL, 331767201
|
Plan administrator’s name and address
| Administrator’s EIN |
851828091 |
| Plan administrator’s name |
MARILU RIOS |
| Plan administrator’s
address |
1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number |
3053507700 |
Signature of
| Role |
Plan administrator |
| Date |
2024-01-30 |
| Name of individual signing |
MARILU RIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AMORES DENTAL CARE, P.A. GHT BENEFIT PLAN
|
2021
|
204419171
|
2022-12-30
|
AMORES DENTAL CARE, P.A.
|
13
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2022-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3054017118
|
| Plan sponsor’s
address |
13617 S DIXIE HWY, MIAMI, FL, 331767201
|
Plan administrator’s name and address
| Administrator’s EIN |
851828091 |
| Plan administrator’s name |
MARILU RIOS |
| Plan administrator’s
address |
1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number |
3053507700 |
Signature of
| Role |
Plan administrator |
| Date |
2022-12-30 |
| Name of individual signing |
MARILU RIOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
