MIAMI DIABETES AND ENDOCRINOLOGY 401(K) PLAN
|
2023
|
815070490
|
2024-05-16
|
ANDREINA ROJAS MD PA
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7864332450
|
Plan sponsor’s
address |
7887 N KENDALL DR, 215, MIAMI, FL, 33156
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2024-05-16 |
Name of individual signing |
QIAN LIU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIAMI DIABETES AND ENDOCRINOLOGY 401(K) PLAN
|
2022
|
815070490
|
2023-05-27
|
ANDREINA ROJAS MD PA
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7864332450
|
Plan sponsor’s
address |
7887 N KENDALL DR, 215, MIAMI, FL, 33156
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-05-27 |
Name of individual signing |
CHRISTINE RIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDREINA ROJAS MD PA GHT BENEFIT PLAN
|
2022
|
815070490
|
2024-01-30
|
ANDREINA ROJAS MD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7864332450
|
Plan sponsor’s
address |
499 NW 70TH AVE, PLANTATION, FL, 333177500
|
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 |
|
|
ANDREINA ROJAS MD PA GHT BENEFIT PLAN
|
2021
|
815070490
|
2022-12-30
|
ANDREINA ROJAS MD PA
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
7864332450
|
Plan sponsor’s
address |
499 NW 70TH AVE, PLANTATION, FL, 333177500
|
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 |
|
|
MIAMI DIABETES AND ENDOCRINOLOGY 401(K) PLAN
|
2021
|
815070490
|
2022-05-23
|
ANDREINA ROJAS MD PA
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7864332450
|
Plan sponsor’s
address |
7887 N KENDALL DR, 215, MIAMI, FL, 33156
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2022-05-23 |
Name of individual signing |
CHRISTINE RIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|