|
CHARLES L. PRIZZIA, D.D.S., P.A .PROFIT SHARING PLAN
|
2011
|
591668956
|
2012-03-28
|
CHARLES L. PRIZZIA, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1976-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047310777
|
| Plan sponsor’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
| Administrator’s EIN |
591668956 |
| Plan administrator’s name |
CHARLES L. PRIZZIA, D.D.S., P.A. |
| Plan administrator’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217 |
| Administrator’s telephone number |
9047310777 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-28 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-03-28 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHARLES L. PRIZZIA, D.D.S., P.A .PROFIT SHARING PLAN
|
2010
|
591668956
|
2011-03-22
|
CHARLES L. PRIZZIA, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1976-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047310777
|
| Plan sponsor’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
| Administrator’s EIN |
591668956 |
| Plan administrator’s name |
CHARLES L. PRIZZIA, D.D.S., P.A. |
| Plan administrator’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217 |
| Administrator’s telephone number |
9047310777 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-22 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-03-22 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHARLES L. PRIZZIA, D.D.S., P.A .PROFIT SHARING PLAN
|
2009
|
591668956
|
2010-07-26
|
CHARLES L. PRIZZIA, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1976-06-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9047310777
|
| Plan sponsor’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217
|
Plan administrator’s name and address
| Administrator’s EIN |
591668956 |
| Plan administrator’s name |
CHARLES L. PRIZZIA, D.D.S., P.A. |
| Plan administrator’s
address |
3940 SAN JOSE PARK DRIVE, JACKSONVILLE, FL, 32217 |
| Administrator’s telephone number |
9047310777 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-26 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-26 |
| Name of individual signing |
CHARLES L. PRIZZIA, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
