PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2014
|
591952854
|
2015-10-08
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2013
|
591952854
|
2015-09-03
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Signature of
Role |
Plan administrator |
Date |
2015-09-03 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2012
|
591952854
|
2013-10-14
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2011
|
591952854
|
2012-04-09
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Plan administrator’s name and address
Administrator’s EIN |
591952854 |
Plan administrator’s name |
PHILIP N. ANKRIM, D.D.S., P.A. |
Plan administrator’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607 |
Administrator’s telephone number |
3523328133 |
Signature of
Role |
Plan administrator |
Date |
2012-04-05 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2010
|
591952854
|
2011-10-17
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Plan administrator’s name and address
Administrator’s EIN |
591952854 |
Plan administrator’s name |
PHILIP N. ANKRIM, D.D.S., P.A. |
Plan administrator’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607 |
Administrator’s telephone number |
3523328133 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP N. ANKRIM, DDS, PA RETIREMENT PLAN
|
2009
|
591952854
|
2010-10-15
|
PHILIP N. ANKRIM, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3523328133
|
Plan sponsor’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607
|
Plan administrator’s name and address
Administrator’s EIN |
591952854 |
Plan administrator’s name |
PHILIP N. ANKRIM, D.D.S., P.A. |
Plan administrator’s
address |
7328 W. UNIVERSITY AVE., STE E, GAINESVILLE, FL, 32607 |
Administrator’s telephone number |
3523328133 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
JENNIFER TENNEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|