PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2023
|
650944929
|
2024-08-22
|
PAUL F. ROCKLEY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2024-08-22 |
Name of individual signing |
PAUL ROCKLEY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. CASH BALANCE PLAN
|
2023
|
650944292
|
2024-10-11
|
PAUL F. ROCKLEY, M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
PAUL ROCKEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. CASH BALANCE PLAN
|
2022
|
650944292
|
2023-10-16
|
PAUL F. ROCKLEY, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2022-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
JOHN GALATAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2022
|
650944929
|
2023-07-07
|
PAUL F. ROCKLEY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
PAUL ROCKLEY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2021
|
650944929
|
2022-06-28
|
PAUL F. ROCKLEY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2022-06-13 |
Name of individual signing |
PAUL ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-28 |
Name of individual signing |
PAUL ROCKLEY, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2020
|
650944929
|
2021-05-26
|
PAUL F. ROCKLEY, M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2021-05-26 |
Name of individual signing |
PAUL F ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-26 |
Name of individual signing |
PAUL F ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2019
|
650944929
|
2020-06-16
|
PAUL F. ROCKLEY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2020-06-16 |
Name of individual signing |
PAUL F ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2018
|
650944929
|
2019-07-12
|
PAUL F. ROCKLEY, M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2019-07-12 |
Name of individual signing |
PAUL FRAZER ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2017
|
650944929
|
2018-10-08
|
PAUL F. ROCKLEY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
PAUL ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL F. ROCKLEY, M.D., P.A. EMPLOYEES SAVINGS TRUST
|
2016
|
650944929
|
2017-09-29
|
PAUL F. ROCKLEY, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9542546919
|
Plan sponsor’s
address |
17101 NE 19TH AVE, NORTH MIAMI BEACH, FL, 33162
|
Signature of
Role |
Plan administrator |
Date |
2017-09-29 |
Name of individual signing |
DR. PAUL F. ROCKLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|