M. E. STEEN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592329063
|
2012-12-28
|
M. E. STEEN, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867369966
|
Plan sponsor’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720
|
Plan administrator’s name and address
Administrator’s EIN |
592329063 |
Plan administrator’s name |
M. E. STEEN, D.D.S., P.A. |
Plan administrator’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720 |
Administrator’s telephone number |
3867369966 |
Signature of
Role |
Plan administrator |
Date |
2012-12-28 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-28 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
M. E. STEEN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
592329063
|
2012-03-16
|
M. E. STEEN, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867369966
|
Plan sponsor’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720
|
Plan administrator’s name and address
Administrator’s EIN |
592329063 |
Plan administrator’s name |
M. E. STEEN, D.D.S., P.A. |
Plan administrator’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720 |
Administrator’s telephone number |
3867369966 |
Signature of
Role |
Plan administrator |
Date |
2012-03-16 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-16 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
M. E. STEEN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
592329063
|
2011-04-25
|
M. E. STEEN, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867369966
|
Plan sponsor’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720
|
Plan administrator’s name and address
Administrator’s EIN |
592329063 |
Plan administrator’s name |
M. E. STEEN, D.D.S., P.A. |
Plan administrator’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720 |
Administrator’s telephone number |
3867369966 |
Signature of
Role |
Plan administrator |
Date |
2011-04-25 |
Name of individual signing |
TATIANA CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-25 |
Name of individual signing |
TATIANA CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
M. E. STEEN, D.D.S., P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
592329063
|
2010-05-05
|
M. E. STEEN, D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2004-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3867369966
|
Plan sponsor’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720
|
Plan administrator’s name and address
Administrator’s EIN |
592329063 |
Plan administrator’s name |
M. E. STEEN, D.D.S., P.A. |
Plan administrator’s
address |
154 MCGREGOR ROAD, DELAND, FL, 32720 |
Administrator’s telephone number |
3867369966 |
Signature of
Role |
Plan administrator |
Date |
2010-05-05 |
Name of individual signing |
MALCOLM STEEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|