|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2023
|
650024156
|
2024-10-08
|
MARY A. CROSS, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3057331693
|
| Plan sponsor’s
address |
13562 SW 109TH PLACE, MIAMI, FL, 33176
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-08 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2022
|
650024156
|
2023-07-10
|
MARY A. CROSS, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3057331693
|
| Plan sponsor’s
address |
13562 SW 109TH PLACE, MIAMI, FL, 33176
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-10 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2021
|
650024156
|
2022-07-06
|
MARY A. CROSS, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052747272
|
| Plan sponsor’s
address |
9485 SW 72ND STREET, SUITE A-195, MIAMI, FL, 33173
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-06 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
650024156
|
2021-09-27
|
MARY A. CROSS, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052747272
|
| Plan sponsor’s
address |
9485 SW 72ND STREET, SUITE A-195, MIAMI, FL, 33173
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-27 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
650024156
|
2020-08-07
|
MARY A. CROSS, M.D., P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052747272
|
| Plan sponsor’s
address |
9485 SW 72ND STREET, SUITE A-195, MIAMI, FL, 33173
|
Signature of
| Role |
Plan administrator |
| Date |
2020-08-07 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARY A. CROSS, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
650024156
|
2019-09-16
|
MARY A. CROSS, M.D., P.A.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3052747272
|
| Plan sponsor’s
address |
9485 SW 72ND STREET, SUITE A-195, MIAMI, FL, 33173
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-16 |
| Name of individual signing |
MARY A CROSS MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
