SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2014
|
592147078
|
2015-04-14
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 33021
|
Signature of
Role |
Plan administrator |
Date |
2015-04-14 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2013
|
592147078
|
2014-10-10
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 33021
|
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2012
|
592147078
|
2013-10-14
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 33021
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2011
|
592147078
|
2012-10-08
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907
|
Plan administrator’s name and address
Administrator’s EIN |
592147078 |
Plan administrator’s name |
SAM EISENSTEIN, D.M.D., P.A. |
Plan administrator’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907 |
Administrator’s telephone number |
9544354100 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2010
|
592147078
|
2011-09-30
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907
|
Plan administrator’s name and address
Administrator’s EIN |
592147078 |
Plan administrator’s name |
SAM EISENSTEIN, D.M.D., P.A. |
Plan administrator’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907 |
Administrator’s telephone number |
9544354100 |
Signature of
Role |
Plan administrator |
Date |
2011-09-30 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAM EISENSTEIN, D.M.D., P.A. PROFIT SHARING PLAN
|
2009
|
592147078
|
2010-10-08
|
SAM EISENSTEIN, D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9544354100
|
Plan sponsor’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907
|
Plan administrator’s name and address
Administrator’s EIN |
592147078 |
Plan administrator’s name |
SAM EISENSTEIN, D.M.D., P.A. |
Plan administrator’s
address |
203 DUNWOODY LANE, HOLLYWOOD, FL, 330212907 |
Administrator’s telephone number |
9544354100 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
SAM EISENSTEIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|