CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2022
|
591805902
|
2023-08-11
|
CREATIVE ARTS DENTAL LAB. INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A INDUSTRIAL PLAZA DR, TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2023-08-11 |
Name of individual signing |
E. PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2021
|
591805902
|
2022-07-29
|
CREATIVE ARTS DENTAL LAB. INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A INDUSTRIAL PLAZA DR, TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2020
|
591805902
|
2021-10-14
|
CREATIVE ARTS DENTAL LAB. INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A INDUSTRIAL PLAZA DR, TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
E. PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2019
|
591805902
|
2020-07-09
|
CREATIVE ARTS DENTAL LAB. INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A INDUSTRIAL PLAZA DR, TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
E. PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2018
|
591805902
|
2019-07-30
|
CREATIVE ARTS DENTAL LAB. INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A INDUSTRIAL PLAZA DR, TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2017
|
591805902
|
2018-07-16
|
CREATIVE ARTS DENTAL LAB. INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A. INDUSTRIAL PLAZA DR., TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2016
|
591805902
|
2017-07-25
|
CREATIVE ARTS DENTAL LAB. INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A. INDUSTRIAL PLAZA DR., TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
PMUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2015
|
591805902
|
2016-07-25
|
CREATIVE ARTS DENTAL LAB. INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A. INDUSTRIAL PLAZA DR., TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
PMUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2014
|
591805902
|
2015-07-14
|
CREATIVE ARTS DENTAL LAB. INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A. INDUSTRIAL PLAZA DR., TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CREATIVE ARTS DENTAL LAB. INC. RETIREMENT TRUST
|
2013
|
591805902
|
2014-07-29
|
CREATIVE ARTS DENTAL LAB. INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-03-21
|
Business code |
541600
|
Sponsor’s telephone number |
8508776221
|
Plan sponsor’s
address |
2810 A. INDUSTRIAL PLAZA DR., TALLAHASSEE, FL, 32301
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
PHILIP MUNOZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|