EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2023
|
592235719
|
2024-07-23
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
EDWARD S MORTELLARO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2022
|
592235719
|
2023-07-13
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
DR. EDWARD MORTELLARO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2021
|
592235719
|
2022-07-22
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
DR. EDWARD MORTELLARO JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2020
|
592235719
|
2021-03-25
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2021-03-25 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-25 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2019
|
592235719
|
2020-08-24
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2020-08-24 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-24 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2018
|
592235719
|
2019-09-24
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2019-09-24 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-24 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2017
|
592235719
|
2018-09-26
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-26 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2016
|
592235719
|
2017-10-05
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2017-10-05 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-05 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR. , D. M. D. , P. A. 401(K) PROFIT SHARING PLAN
|
2015
|
592235719
|
2016-10-05
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-05 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD S. MORTELLARO JR., D.M.D., P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
592235719
|
2015-11-22
|
EDWARD S. MORTELLARO JR., D.M.D., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-11-01
|
Business code |
621210
|
Sponsor’s telephone number |
8136857733
|
Plan sponsor’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511
|
Plan administrator’s name and address
Administrator’s EIN |
592235719 |
Plan administrator’s name |
EDWARD S. MORTELLARO JR., D.M.D., P.A. |
Plan administrator’s
address |
710 OAKFIELD DRIVE, SUITE 126, BRANDON, FL, 33511 |
Administrator’s telephone number |
8136857733 |
Signature of
Role |
Plan administrator |
Date |
2015-11-22 |
Name of individual signing |
EDWARD S. MORTELLARO JR., D.M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|