JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
271333007
|
2024-05-25
|
JEROME HERNANDEZ OD, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2024-05-25 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
271333007
|
2023-07-10
|
JEROME HERNANDEZ OD, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2023-07-10 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
271333007
|
2022-09-04
|
JEROME HERNANDEZ OD, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, SUITE 110, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2022-09-04 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
271333007
|
2021-06-08
|
JEROME HERNANDEZ OD, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2021-06-08 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
271333007
|
2020-07-10
|
JEROME HERNANDEZ OD, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
7400 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
271333007
|
2019-05-20
|
JEROME HERNANDEZ OD, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
7400 NORTH KENDALL DRIVE, SUITE 110, MIAMI, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2019-05-20 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
271333007
|
2018-10-04
|
JEROME HERNANDEZ OD INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEROME HERNANDEZ OD INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
271333007
|
2017-07-07
|
JEROME HERNANDEZ OD INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
3056706060
|
Plan sponsor’s
address |
8231 S DIXIE HWY, MIAMI, FL, 33143
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
JEROME HERNANDEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|