RAUL A ORTIZ DMD PA 401K PROFIT
|
2023
|
460756945
|
2024-02-11
|
RAUL A ORTIZ DMD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2024-02-11 |
Name of individual signing |
DR. RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-11 |
Name of individual signing |
DR RAUL ORTIZ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2021
|
460756945
|
2022-07-25
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2020
|
460756945
|
2021-10-15
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2018
|
460756945
|
2019-10-04
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2017
|
460756945
|
2018-09-26
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2016
|
460756945
|
2017-05-23
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2015
|
460756945
|
2016-08-15
|
RAUL A ORTIZ DMD PA
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2016-08-15 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2014
|
460756945
|
2015-08-31
|
RAUL A ORTIZ DMD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2015-08-31 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2013
|
460756945
|
2015-05-22
|
RAUL A ORTIZ DMD PA
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RAUL A ORTIZ DMD PA 401K PROFIT SHARE PLAN
|
2013
|
460756945
|
2015-05-01
|
RAUL A ORTIZ DMD PA
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-10-01
|
Sponsor’s telephone number |
9413660474
|
Plan sponsor’s
address |
1515 S OSPREY AVE A-2, SARASOTA, FL, 34239
|
Signature of
Role |
Plan administrator |
Date |
2015-05-01 |
Name of individual signing |
RAUL ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|