LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2023
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134166796
|
2024-05-29
|
LIEZL VILLAVERDE, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2024-05-29 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
134166796
|
2023-05-08
|
LIEZL VILLAVERDE, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2023-05-05 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
134166796
|
2022-03-31
|
LIEZL VILLAVERDE, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2022-03-30 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
134166796
|
2021-05-04
|
LIEZL VILLAVERDE, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2021-05-04 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
134166796
|
2020-05-29
|
LIEZL VILLAVERDE, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2020-05-29 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
134166796
|
2019-04-10
|
LIEZL VILLAVERDE, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
134166796
|
2018-04-12
|
LIEZL VILLAVERDE, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2018-04-11 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|
LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
134166796
|
2017-03-24
|
LIEZL VILLAVERDE, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2017-03-24 |
Name of individual signing |
LIEZL VILLAVERDE |
|
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LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
134166796
|
2016-03-03
|
LIEZL VILLAVERDE, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2016-03-02 |
Name of individual signing |
LIEZL VILLAVERDE |
|
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LIEZL VILLAVERDE, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
134166796
|
2015-04-14
|
LIEZL VILLAVERDE, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186987220
|
Plan sponsor’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314
|
Plan administrator’s name and address
Administrator’s EIN |
134166796 |
Plan administrator’s name |
LIEZL VILLAVERDE, M.D., P.C. |
Plan administrator’s
address |
105 BYRNE AVENUE, STATEN ISLAND, NY, 10314 |
Administrator’s telephone number |
7186987220 |
Signature of
Role |
Plan administrator |
Date |
2015-04-14 |
Name of individual signing |
LIEZL VILLAVERDE |
|
|