TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2020
|
591626810
|
2021-03-11
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2021-03-11 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-11 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2019
|
591626810
|
2020-04-10
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2020-04-10 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-10 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2018
|
591626810
|
2019-03-28
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2019-03-28 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-28 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2017
|
591626810
|
2018-03-30
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2018-03-30 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-30 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
591626810
|
2017-03-30
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2017-03-30 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-30 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
591626810
|
2016-03-10
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2016-03-10 |
Name of individual signing |
JENNIFER E COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-03-10 |
Name of individual signing |
JENNIFER E COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
591626810
|
2015-04-15
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2015-04-15 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-15 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
591626810
|
2014-03-19
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2014-03-19 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-19 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
591626810
|
2013-02-24
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Signature of
Role |
Plan administrator |
Date |
2013-02-24 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-24 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEQUESTA DENTAL ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
591626810
|
2012-09-11
|
TEQUESTA DENTAL ASSOCIATES, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5617467684
|
Plan sponsor’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469
|
Plan administrator’s name and address
Administrator’s EIN |
591626810 |
Plan administrator’s name |
TEQUESTA DENTAL ASSOCIATES, P.A. |
Plan administrator’s
address |
175 C TEQUESTA DRIVE, TEQUESTA, FL, 33469 |
Administrator’s telephone number |
5617467684 |
Signature of
Role |
Plan administrator |
Date |
2012-09-11 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-11 |
Name of individual signing |
JENNIFER COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|