JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2023
|
421530800
|
2024-10-07
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2024-10-07 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2023
|
421530800
|
2024-10-07
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2024-10-07 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2022
|
421530800
|
2023-07-06
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2021
|
421530800
|
2022-07-15
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2020
|
421530800
|
2021-04-21
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2021-04-21 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2019
|
421530800
|
2020-07-16
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2018
|
421530800
|
2019-07-02
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2019-07-02 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2017
|
421530800
|
2018-05-18
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2018-05-18 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
421530800
|
2017-07-28
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAYAPRAKASH N. SHETTY, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
421530800
|
2016-08-24
|
JAYAPRAKASH N. SHETTY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3526227755
|
Plan sponsor’s
address |
1737 SE 28TH LOOP, SUITE A, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2016-08-24 |
Name of individual signing |
JAYAPRAKASH N. SHETTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|