JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST
|
2012
|
592124683
|
2014-03-12
|
JOHN J. NELSON, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076292161
|
Plan sponsor’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789
|
Signature of
Role |
Plan administrator |
Date |
2014-03-12 |
Name of individual signing |
JOHN J. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST
|
2011
|
592124683
|
2013-02-07
|
JOHN J. NELSON, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076292161
|
Plan sponsor’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
Administrator’s EIN |
592124683 |
Plan administrator’s name |
JOHN J. NELSON, D.D.S., P.A. |
Plan administrator’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789 |
Administrator’s telephone number |
4076292161 |
Signature of
Role |
Plan administrator |
Date |
2013-02-07 |
Name of individual signing |
JOHN J. NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST
|
2010
|
592124683
|
2012-04-17
|
JOHN J. NELSON, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076292161
|
Plan sponsor’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
Administrator’s EIN |
592124683 |
Plan administrator’s name |
JOHN J. NELSON, D.D.S., P.A. |
Plan administrator’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789 |
Administrator’s telephone number |
4076292161 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
CHARLES A. BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. NELSON, D.D.S., P.A. 401(K) PLAN AND TRUST
|
2009
|
592124683
|
2011-01-20
|
JOHN J. NELSON, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4076292161
|
Plan sponsor’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
Administrator’s EIN |
592124683 |
Plan administrator’s name |
JOHN J. NELSON, D.D.S., P.A. |
Plan administrator’s
address |
865 BALCH AVENUE, WINTER PARK, FL, 32789 |
Administrator’s telephone number |
4076292161 |
Signature of
Role |
Plan administrator |
Date |
2011-01-20 |
Name of individual signing |
JOHN J. NELSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|