ALBERT DABBAH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
650798616
|
2021-09-16
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
1599 NW 9TH AVE SUITE 1, BOCA RATON, FL, 33486
|
Signature of
Role |
Plan administrator |
Date |
2021-09-16 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-16 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
650798616
|
2020-09-09
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
1599 NW 9TH AVE SUITE 1, BOCA RATON, FL, 33486
|
Signature of
Role |
Plan administrator |
Date |
2020-09-09 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-09 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
650798616
|
2019-09-24
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
1599 NW 9TH AVE SUITE 1, BOCA RATON, FL, 33486
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-24 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
650798616
|
2018-08-10
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2018-08-10 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-10 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
650798616
|
2017-09-12
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2017-09-12 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-12 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650798616
|
2016-08-25
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2016-08-25 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-25 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
650798616
|
2015-09-26
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2015-09-26 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-26 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. PROFIT SHARING PLAN
|
2013
|
650798616
|
2014-06-27
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2014-06-27 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-27 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. PROFIT SHARING PLAN
|
2012
|
650798616
|
2013-10-04
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-04 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALBERT DABBAH, M.D., P.A. PROFIT SHARING PLAN
|
2011
|
650798616
|
2012-09-03
|
ALBERT DABBAH, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5614881700
|
Plan sponsor’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428
|
Plan administrator’s name and address
Administrator’s EIN |
650798616 |
Plan administrator’s name |
ALBERT DABBAH, M.D., P.A. |
Plan administrator’s
address |
9970 CENTRAL PARK BLVD., SUITE 201, BOCA RATON, FL, 33428 |
Administrator’s telephone number |
5614881700 |
Signature of
Role |
Plan administrator |
Date |
2012-09-03 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-03 |
Name of individual signing |
ALBERT DABBAH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|