JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN -FINAL
|
2020
|
650910752
|
2021-09-16
|
JULIO ROBLA, M.D., P.A.
|
2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3056659392
|
Plan sponsor’s
address |
7985 SW 125TH, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2021-09-16 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
650910752
|
2021-09-16
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7985 SW 125TH STREET, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2021-09-16 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
650910752
|
2020-07-21
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7985 SW 125TH STREET, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
650910752
|
2019-07-30
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7985 SW 125TH STREET, PINECREST, FL, 33156
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
650910752
|
2018-07-03
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Signature of
Role |
Plan administrator |
Date |
2018-07-03 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
650910752
|
2017-08-30
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Signature of
Role |
Plan administrator |
Date |
2017-08-30 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
650910752
|
2016-09-29
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
650910752
|
2015-10-01
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
650910752
|
2014-08-15
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Signature of
Role |
Plan administrator |
Date |
2014-08-15 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JULIO ROBLA, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
650910752
|
2013-09-12
|
JULIO ROBLA, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3052756770
|
Plan sponsor’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650910752 |
Plan administrator’s name |
JULIO ROBLA, M.D., P.A. |
Plan administrator’s
address |
7600 SW 87TH AVENUE, #102, MIAMI, FL, 33173 |
Administrator’s telephone number |
3052756770 |
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
JULIO ROBLA, M.D., P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
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