BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN-2019 FINAL
|
2018
|
592114951
|
2019-12-27
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2019-12-27 |
Name of individual signing |
BRUCE FELDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2018
|
592114951
|
2019-03-01
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2019-03-01 |
Name of individual signing |
BRUCE FELDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2017
|
592114951
|
2018-06-19
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2016
|
592114951
|
2017-07-12
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2015
|
592114951
|
2016-04-20
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2016-04-20 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-20 |
Name of individual signing |
BRUCE K. FELDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2014
|
592114951
|
2015-07-06
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-06 |
Name of individual signing |
BRUCE K. FELDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2013
|
592114951
|
2014-05-06
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2014-05-06 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2012
|
592114951
|
2013-07-20
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2013-07-20 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-20 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2011
|
592114951
|
2012-07-27
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Plan administrator’s name and address
Administrator’s EIN |
592114951 |
Plan administrator’s name |
BRUCE K. FELDER, D.D.S., M.S., P.A. |
Plan administrator’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504 |
Administrator’s telephone number |
8504772323 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRUCE K. FELDER, D.D.S., M.S., P.A. 401(K) PLAN
|
2010
|
592114951
|
2011-10-11
|
BRUCE K. FELDER, D.D.S., M.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-02-03
|
Business code |
621210
|
Sponsor’s telephone number |
8504772323
|
Plan sponsor’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504
|
Plan administrator’s name and address
Administrator’s EIN |
592114951 |
Plan administrator’s name |
BRUCE K. FELDER, D.D.S., M.S., P.A. |
Plan administrator’s
address |
3000 LANGLEY AVENUE, SUITE 100, PENSACOLA, FL, 32504 |
Administrator’s telephone number |
8504772323 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
BRUCE K. FELDER, D.D.S., M.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|