CARDIA PEDIATRICS, P.C. 401(K) RETIREMENT PLAN
|
2023
|
203376752
|
2024-10-15
|
CARDIA PEDIATRICS, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAIN, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
DR. JADIYI SALIM-ORTIZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CARDIA PEDIATRICS, P.C. 401(K) RETIREMENT PLAN
|
2022
|
203376752
|
2023-10-13
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAIN, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2021
|
203376752
|
2022-07-29
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2022-07-29 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2020
|
203376752
|
2021-07-26
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2021-07-26 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2019
|
203376752
|
2020-06-15
|
CARDIA PEDIATRICS, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2020-06-15 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2018
|
203376752
|
2019-10-01
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2017
|
203376752
|
2018-07-27
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2016
|
203376752
|
2017-10-12
|
CARDIA PEDIATRICS, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|
CARDIA PEDIATRICS, P. C. 401(K) RETIREMENT PLAN
|
2015
|
203376752
|
2016-09-01
|
CARDIA PEDIATRICS, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9149348415
|
Plan sponsor’s
address |
280 MAMARONECK AVENUE, SUITE 312, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
JAYIDI SALIM-ORTIZ, M.D. TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2016-09-01 |
Name of individual signing |
JADIYI SALIM-ORTIZ, M.D. PRESIDENT |
|
|