MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2014
|
592215616
|
2015-10-14
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
BERNADETTE VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2013
|
592215616
|
2014-10-14
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Plan administrator’s name and address
Administrator’s EIN |
592215616 |
Plan administrator’s name |
MICHAEL A. VERSAGGI, D.D.S., P.A. |
Plan administrator’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084 |
Administrator’s telephone number |
9048299024 |
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
BERNADETTE VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2012
|
592215616
|
2013-10-01
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Plan administrator’s name and address
Administrator’s EIN |
592215616 |
Plan administrator’s name |
MICHAEL A. VERSAGGI, D.D.S., P.A. |
Plan administrator’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084 |
Administrator’s telephone number |
9048299024 |
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
MICHAEL A. VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2011
|
592215616
|
2012-10-15
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Plan administrator’s name and address
Administrator’s EIN |
592215616 |
Plan administrator’s name |
MICHAEL A. VERSAGGI, D.D.S., P.A. |
Plan administrator’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084 |
Administrator’s telephone number |
9048299024 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MICHAEL A. VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2010
|
592215616
|
2011-03-22
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Plan administrator’s name and address
Administrator’s EIN |
592215616 |
Plan administrator’s name |
MICHAEL A. VERSAGGI, D.D.S., P.A. |
Plan administrator’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084 |
Administrator’s telephone number |
9048299024 |
Signature of
Role |
Plan administrator |
Date |
2011-03-22 |
Name of individual signing |
MICHAEL A. VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL A. VERSAGGI, DDS, PA DEFINED BENEFIT PLAN
|
2009
|
592215616
|
2010-07-09
|
MICHAEL A. VERSAGGI, D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9048299024
|
Plan sponsor’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084
|
Plan administrator’s name and address
Administrator’s EIN |
592215616 |
Plan administrator’s name |
MICHAEL A. VERSAGGI, D.D.S., P.A. |
Plan administrator’s
address |
150 MALAGA STREET/VALENCIA, ST. AUGUSTINE, FL, 32084 |
Administrator’s telephone number |
9048299024 |
Signature of
Role |
Plan administrator |
Date |
2010-07-09 |
Name of individual signing |
MICHAEL A. VERSAGGI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|