ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2019
|
591668876
|
2020-09-14
|
ARTHUR I. ACKER, D.M.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2020-09-14 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2018
|
591668876
|
2019-10-09
|
ARTHUR I. ACKER, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 34292
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2017
|
591668876
|
2018-07-20
|
ARTHUR I. ACKER, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2018-07-20 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2016
|
591668876
|
2017-05-29
|
ARTHUR I. ACKER, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2017-05-29 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2015
|
591668876
|
2016-08-12
|
ARTHUR I. ACKER, D.M.D., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2016-08-12 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2014
|
591668876
|
2015-07-29
|
ARTHUR I. ACKER, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2013
|
591668876
|
2014-07-01
|
ARTHUR I. ACKER, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2014-07-01 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2012
|
591668876
|
2013-03-03
|
ARTHUR I. ACKER, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Signature of
Role |
Plan administrator |
Date |
2013-03-03 |
Name of individual signing |
ARTHUR I. ACKER, D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2011
|
591668876
|
2012-04-17
|
ARTHUR I. ACKER, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Plan administrator’s name and address
Administrator’s EIN |
591668876 |
Plan administrator’s name |
ARTHUR I. ACKER, D.M.D., P.A. |
Plan administrator’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492 |
Administrator’s telephone number |
9414843885 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
ARTHUR ACKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARTHUR I. ACKER, D.M.D., P.A. 401(K) PLAN & TRUST
|
2010
|
591668876
|
2011-07-08
|
ARTHUR I. ACKER, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9414843885
|
Plan sponsor’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492
|
Plan administrator’s name and address
Administrator’s EIN |
591668876 |
Plan administrator’s name |
ARTHUR I. ACKER, D.M.D., P.A. |
Plan administrator’s
address |
200 CAPRI ISLES BLVD., VENICE, FL, 32492 |
Administrator’s telephone number |
9414843885 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
ARTHUR ACKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|