|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2018
|
454045465
|
2019-10-05
|
MIRIAM M. LARA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
|
|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2017
|
454045465
|
2018-10-01
|
MIRIAM M. LARA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s mailing address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-10-01 |
| Name of individual signing |
MIRIAM M. LARA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-10-01 |
| Name of individual signing |
MIRIAM M. LARA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2016
|
454045465
|
2018-04-25
|
MIRIAM M. LARA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s mailing address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-04-25 |
| Name of individual signing |
MIRIAM M. LARA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2015
|
454045465
|
2017-01-30
|
MIRIAM M. LARA, M.D., P.A.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s mailing address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2017-01-30 |
| Name of individual signing |
MIRIAM M. LARA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2014
|
454045465
|
2015-10-15
|
MIRIAM M. LARA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s mailing address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2015-10-15 |
| Name of individual signing |
MIRIAM M. LARA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRIAM M. LARA, M.D. PROFIT SHARING PLAN
|
2013
|
454045465
|
2014-10-14
|
MIRIAM M. LARA, M.D., P.A.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2002-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3053621800
|
| Plan sponsor’s mailing address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
| Plan sponsor’s
address |
2100 WEST 68TH STREET, HIALEAH, FL, 330161804
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
