|
DOUGLAS J. PHILLIPS, JR. D.D.S. P.A. PROFIT SHARING TRUST
|
2014
|
591387993
|
2015-07-03
|
DOUGLAS J. PHILLIPS, JR. P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-03-27
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618481716
|
| Plan sponsor’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154
|
Plan administrator’s name and address
| Administrator’s EIN |
591387993 |
| Plan administrator’s name |
DOUGLAS J. PHILLIPS, JR. P.A. |
| Plan administrator’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154 |
| Administrator’s telephone number |
5618481716 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-03 |
| Name of individual signing |
DOUGLAS PHILLIPS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOUGLAS J. PHILLIPS, JR. D.D.S. P.A. PROFIT SHARING TRUST
|
2013
|
591387993
|
2014-06-13
|
DOUGLAS J. PHILLIPS, JR. P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-03-27
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618481716
|
| Plan sponsor’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154
|
Plan administrator’s name and address
| Administrator’s EIN |
591387993 |
| Plan administrator’s name |
DOUGLAS J. PHILLIPS, JR. P.A. |
| Plan administrator’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154 |
| Administrator’s telephone number |
5618481716 |
Signature of
| Role |
Plan administrator |
| Date |
2014-06-13 |
| Name of individual signing |
DOUGLAS PHILLIPS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOUGLAS J. PHILLIPS, JR. D.D.S. P.A. PROFIT SHARING TRUST
|
2012
|
591387993
|
2013-06-28
|
DOUGLAS J. PHILLIPS, JR. P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-03-27
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618481716
|
| Plan sponsor’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154
|
Plan administrator’s name and address
| Administrator’s EIN |
591387993 |
| Plan administrator’s name |
DOUGLAS J. PHILLIPS, JR. P.A. |
| Plan administrator’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154 |
| Administrator’s telephone number |
5618481716 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-28 |
| Name of individual signing |
DOUGLAS PHILLIPS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOUGLAS J. PHILLIPS, JR. D.D.S. P.A. PROFIT SHARING TRUST
|
2011
|
591387993
|
2012-07-06
|
DOUGLAS J. PHILLIPS, JR. P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1992-03-27
|
| Business code |
621210
|
| Sponsor’s telephone number |
5618481716
|
| Plan sponsor’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154
|
Plan administrator’s name and address
| Administrator’s EIN |
591387993 |
| Plan administrator’s name |
DOUGLAS J. PHILLIPS, JR. P.A. |
| Plan administrator’s
address |
901 NORTHPOINT PARKWAY, SUITE 405A, WEST PALM BEACH, FL, 334073154 |
| Administrator’s telephone number |
5618481716 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-06 |
| Name of individual signing |
DOUGLAS PHILLIPS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
