RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2023
|
650796577
|
2024-06-07
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2024-06-07 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2022
|
650796577
|
2023-07-12
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2023-07-12 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2021
|
650796577
|
2022-07-21
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2020
|
650796577
|
2021-06-07
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2019
|
650796577
|
2020-07-06
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2020-07-06 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2018
|
650796577
|
2019-06-22
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2019-06-22 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2017
|
650796577
|
2018-07-18
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
2387 WEST 68TH STREET, STE. 401, HIALEAH, FL, 33016
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2016
|
650796577
|
2017-11-03
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
1321 NW 14TH ST STE 401A, MIAMI, FL, 33125
|
Signature of
Role |
Plan administrator |
Date |
2017-11-03 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2016
|
650796577
|
2017-11-08
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
1321 NW 14TH ST STE 401A, MIAMI, FL, 33125
|
Signature of
Role |
Plan administrator |
Date |
2017-11-08 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
2015
|
650796577
|
2018-01-26
|
RODOLFO GUTIERREZ-ALSINA M.D P.A
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3053258589
|
Plan sponsor’s
address |
1321 NW 14TH ST STE 401A, MIAMI, FL, 33125
|
Signature of
Role |
Plan administrator |
Date |
2018-01-26 |
Name of individual signing |
RODLFO ALSINA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|