STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2023
|
650386185
|
2024-07-25
|
STEPHAN BAKER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2024-07-24 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2022
|
650386185
|
2023-04-21
|
STEPHAN BAKER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2023-04-21 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2021
|
650386185
|
2022-06-16
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2022-06-15 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2020
|
650386185
|
2021-04-27
|
STEPHAN BAKER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2021-04-27 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2019
|
650386185
|
2020-06-02
|
STEPHAN BAKER, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2018
|
650386185
|
2019-07-11
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2019-07-10 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2017
|
650386185
|
2018-09-14
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2018-09-14 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2016
|
650386185
|
2017-07-10
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2015
|
650386185
|
2016-07-07
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
3850 BIRD RD STE 702, MIAMI, FL, 331461507
|
Signature of
Role |
Plan administrator |
Date |
2016-07-06 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEPHAN BAKER, M.D., P.A. RETIREMENT PLAN AND TRUST
|
2014
|
650386185
|
2015-07-28
|
STEPHAN BAKER, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053818837
|
Plan sponsor’s
address |
4425 PONCE DE LEON BLVD, SUITE 200, CORAL GABLES, FL, 33146
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
STEPHAN BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|