401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2016
|
591697188
|
2018-01-07
|
MARTIN J. ALPERT, D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Signature of
Role |
Plan administrator |
Date |
2018-01-07 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-07 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2015
|
591697188
|
2016-12-26
|
MARTIN J. ALPERT, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Signature of
Role |
Plan administrator |
Date |
2016-12-26 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-26 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2014
|
591697188
|
2016-01-10
|
MARTIN J. ALPERT, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Signature of
Role |
Plan administrator |
Date |
2016-01-10 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-01-10 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2013
|
591697188
|
2016-09-22
|
MARTIN J. ALPERT, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2012
|
591697188
|
2014-01-14
|
MARTIN J. ALPERT, D.M.D., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Signature of
Role |
Plan administrator |
Date |
2014-01-13 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-13 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2011
|
591697188
|
2013-04-30
|
MARTIN J. ALPERT, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Plan administrator’s name and address
Administrator’s EIN |
591697188 |
Plan administrator’s name |
MARTIN J. ALPERT, D.M.D., P.A. |
Plan administrator’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714 |
Administrator’s telephone number |
4078690001 |
Signature of
Role |
Plan administrator |
Date |
2013-01-14 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-14 |
Name of individual signing |
MARTIN ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2010
|
591697188
|
2011-11-21
|
MARTIN J. ALPERT, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Plan administrator’s name and address
Administrator’s EIN |
591697188 |
Plan administrator’s name |
MARTIN J. ALPERT, D.M.D., P.A. |
Plan administrator’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714 |
Administrator’s telephone number |
4078690001 |
Signature of
Role |
Plan administrator |
Date |
2011-11-21 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-21 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K)/PROFIT SHARING PLAN AND TRUST FOR EMPLOYEES OF MARTIN J. ALPERT, D.M.D., P.A.
|
2009
|
591697188
|
2010-12-28
|
MARTIN J. ALPERT, D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078690001
|
Plan sponsor’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714
|
Plan administrator’s name and address
Administrator’s EIN |
591697188 |
Plan administrator’s name |
MARTIN J. ALPERT, D.M.D., P.A. |
Plan administrator’s
address |
100 LAKESHORE DRIVE, SUITE 112, ALTAMONTE SPRINGS, FL, 32714 |
Administrator’s telephone number |
4078690001 |
Signature of
Role |
Plan administrator |
Date |
2010-12-23 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-23 |
Name of individual signing |
MARTIN J ALPERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|