MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
650968264
|
2021-10-14
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
SANDRA R. TURNER, ERPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
SANDRA R. TURNER, ERPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
650968264
|
2020-10-06
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
650968264
|
2019-08-29
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-29 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
650968264
|
2018-10-08
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
SANDRA R. TURNER, ERPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-08 |
Name of individual signing |
SANDRA R. TURNER, ERPA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
650968264
|
2018-01-29
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
650968264
|
2017-03-03
|
MICHELE MAHOLTZ, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2017-03-03 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-03 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
650968264
|
2015-10-12
|
MICHELE MAHOLTZ, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
650968264
|
2014-09-25
|
MICHELE MAHOLTZ, M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
MICHELE S. ZMTAHOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-12 |
Name of individual signing |
MICHELE S. ZMTAHOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
650968264
|
2013-08-16
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., SUITE A, VERO BEACH, FL, 32960
|
Signature of
Role |
Plan administrator |
Date |
2013-08-16 |
Name of individual signing |
MICHELE S. MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-16 |
Name of individual signing |
MICHELE S. MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHELE MAHOLTZ, M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
650595818
|
2012-07-11
|
MICHELE MAHOLTZ, M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7725670081
|
Plan sponsor’s
address |
3725 12TH CT., VERO BEACH, FL, 32960
|
Plan administrator’s name and address
Administrator’s EIN |
650595818 |
Plan administrator’s name |
MICHELE MAHOLTZ, M.D., P.A. |
Plan administrator’s
address |
3725 12TH CT., VERO BEACH, FL, 32960 |
Administrator’s telephone number |
7725670081 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-10 |
Name of individual signing |
MICHELE MAHOLTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|