JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2020
|
650374575
|
2021-06-29
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2019
|
650374575
|
2020-02-17
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2020-02-17 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2018
|
650374575
|
2019-08-22
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2019-08-22 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2017
|
650374575
|
2019-08-22
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2019-08-22 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2017
|
650374575
|
2018-03-20
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2018-03-20 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2016
|
650374575
|
2017-10-05
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
7190 SW 87TH AVE, STE. 203, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650374575
|
2017-10-11
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650374575
|
2016-10-12
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2015
|
650374575
|
2017-04-05
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
|
JOSE C. MARTIN, M.D., P.A. PROFIT SHARING PLAN
|
2014
|
650374575
|
2015-07-07
|
JOSE C MARTIN, M.D., P.A
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3054126323
|
Plan sponsor’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173
|
Plan administrator’s name and address
Administrator’s EIN |
650374575 |
Plan administrator’s name |
JOSE C. MARTIN, M.D., P.A |
Plan administrator’s
address |
9220 SUNSET DR., STE. 204, MIAMI, FL, 33173 |
Administrator’s telephone number |
3054126323 |
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
JOSE C. MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|