BEHNER DENTAL DEFINED BENEFIT PENSION PLAN & TRUS
|
2014
|
592334180
|
2015-10-13
|
RONALD L. BEHNER, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078315455
|
Plan sponsor’s
address |
934 EAST ALTAMONTE DRIVE, SUITE 1002, ALTAMONTE SPRINGS, FL, 327015004
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
JULIAN W. BEHNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEHNER DENTAL DEFINED BENEFIT PENSION PLAN & TRUS
|
2013
|
592334180
|
2014-07-23
|
RONALD L. BEHNER, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078315455
|
Plan sponsor’s
address |
934 EAST ALTAMONTE DRIVE, SUITE 1002, ALTAMONTE SPRINGS, FL, 327015004
|
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
JULIAN W. BEHNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEHNER DENTAL DEFINED BENEFIT PENSION PLAN & TRUS
|
2012
|
592334180
|
2013-10-02
|
RONALD L. BEHNER, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078315455
|
Plan sponsor’s
address |
934 EAST ALTAMONTE DRIVE, SUITE 1002, ALTAMONTE SPRINGS, FL, 327015004
|
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
JULIAN W. BEHNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEHNER DENTAL DEFINED BENEFIT PENSION PLAN & TRUS
|
2011
|
592334180
|
2012-08-21
|
RONALD L. BEHNER, D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
4078315455
|
Plan sponsor’s
address |
934 EAST ALTAMONTE DRIVE, SUITE 1002, ALTAMONTE SPRINGS, FL, 327015004
|
Plan administrator’s name and address
Administrator’s EIN |
592334180 |
Plan administrator’s name |
RONALD L. BEHNER, D.D.S., P.A. |
Plan administrator’s
address |
934 EAST ALTAMONTE DRIVE, SUITE 1002, ALTAMONTE SPRINGS, FL, 327015004 |
Administrator’s telephone number |
4078315455 |
Signature of
Role |
Plan administrator |
Date |
2012-08-21 |
Name of individual signing |
RONALD L. BEHNER, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|