|
MARK S. COLBURN, D.D.S., P.C. MONEY PURCHASE PENSION PLAN
|
2012
|
421172252
|
2013-07-18
|
MARK S. COLBURN, D.D.S., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078923326
|
| Plan sponsor’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-17 |
| Name of individual signing |
MARK S. COLBURN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK S. COLBURN, D.D.S., P.C. MONEY PURCHASE PENSION PLAN
|
2011
|
421172252
|
2012-10-09
|
MARK S. COLBURN, D.D.S., P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078923326
|
| Plan sponsor’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742
|
Plan administrator’s name and address
| Administrator’s EIN |
421172252 |
| Plan administrator’s name |
MARK S. COLBURN, D.D.S., P.C. |
| Plan administrator’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742 |
| Administrator’s telephone number |
4078923326 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-09 |
| Name of individual signing |
MARK S. COLBURN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK S. COLBURN, D.D.S., P.C. MONEY PURCHASE PENSION PLAN
|
2010
|
421172252
|
2011-10-06
|
MARK S. COLBURN, D.D.S., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078923326
|
| Plan sponsor’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742
|
Plan administrator’s name and address
| Administrator’s EIN |
421172252 |
| Plan administrator’s name |
MARK S. COLBURN, D.D.S., P.C. |
| Plan administrator’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742 |
| Administrator’s telephone number |
4078923326 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
MARK S. COLBURN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MARK S. COLBURN, D.D.S., P.C. MONEY PURCHASE PENSION PLAN
|
2009
|
421172252
|
2010-10-06
|
MARK S. COLBURN, D.D.S., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1998-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4078923326
|
| Plan sponsor’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742
|
Plan administrator’s name and address
| Administrator’s EIN |
421172252 |
| Plan administrator’s name |
MARK S. COLBURN, D.D.S., P.C. |
| Plan administrator’s
address |
P.O. BOX 421889, KISSIMMEE, FL, 34742 |
| Administrator’s telephone number |
4078923326 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
MARK S. COLBURN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
