|
JAMES W. ANTOON D.M.D., P.A. NEW COMPARABILITY PROFIT SHARING PLAN
|
2021
|
591991164
|
2022-07-08
|
JAMES W. ANTOON D.M.D., P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-04-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3215442997
|
| Plan sponsor’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-08 |
| Name of individual signing |
JAMES W. ANTOON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES W. ANTOON D.M.D., P.A. NEW COMPARABILITY PROFIT SHARING PLAN
|
2021
|
591991164
|
2022-02-21
|
JAMES W. ANTOON D.M.D., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-04-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3215442997
|
| Plan sponsor’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940
|
Signature of
| Role |
Plan administrator |
| Date |
2022-02-21 |
| Name of individual signing |
JAMES W. ANTOON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES W. ANTOON D.M.D., P.A. NEW COMPARABILITY PROFIT SHARING PLAN
|
2020
|
591991164
|
2021-02-03
|
JAMES W. ANTOON D.M.D., P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-04-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3215442997
|
| Plan sponsor’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940
|
Signature of
| Role |
Plan administrator |
| Date |
2021-02-03 |
| Name of individual signing |
JAMES W. ANTOON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES W. ANTOON D.M.D., P.A. NEW COMPARABILITY PROFIT SHARING PLAN
|
2019
|
591991164
|
2020-04-23
|
JAMES W. ANTOON D.M.D., P.A.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-04-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3215442997
|
| Plan sponsor’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940
|
Signature of
| Role |
Plan administrator |
| Date |
2020-04-23 |
| Name of individual signing |
JAMES W. ANTOON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JAMES W. ANTOON, D.M.D., P.A. NEW COMPARABILITY
|
2009
|
591991164
|
2010-08-19
|
JAMES W. ANTOON, D.M.D., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1997-04-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
3216323171
|
| Plan sponsor’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940
|
Plan administrator’s name and address
| Administrator’s EIN |
591991164 |
| Plan administrator’s name |
JAMES W. ANTOON, D.M.D., P.A. |
| Plan administrator’s
address |
578 WETHERSFIELD PLACE, MELBOURNE, FL, 32940 |
| Administrator’s telephone number |
3216323171 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-19 |
| Name of individual signing |
SUSAN ANTOON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
