LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
261442656
|
2023-07-19
|
LISBETH W. ROY, D.O., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2023-07-19 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
261442656
|
2022-09-24
|
LISBETH W. ROY, D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2022-09-24 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
261442656
|
2021-04-21
|
LISBETH W. ROY, D.O., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2021-04-21 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
261442656
|
2020-06-29
|
LISBETH W. ROY, D.O., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2020-06-29 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
261442656
|
2019-04-21
|
LISBETH W. ROY, D.O., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2019-04-21 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
261442656
|
2018-09-14
|
LISBETH W. ROY, D.O., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2018-09-14 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LISBETH W. ROY, D.O., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
261442656
|
2017-10-08
|
LISBETH W. ROY, D.O., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614447751
|
Plan sponsor’s
address |
2595 NW BOCA RATON BLVD, SUITE 200, BOCA RATON, FL, 33431
|
Signature of
Role |
Plan administrator |
Date |
2017-10-08 |
Name of individual signing |
LISBETH ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|